Individual
MRS. WILMA JOHNSON WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
301 N DAVIS AVE, CLEVELAND, MS 38732-2349
(662) 846-5781
(662) 846-7657
Mailing address
537 ROBINSON DR, CLEVELAND, MS 38732-2213
(662) 843-6520
(662) 846-7657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06978
MS
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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