Individual
MRS. MALLORY WEBB WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20332 AL HIGHWAY 33, MOULTON, AL 35650-9204
(256) 974-4900
Mailing address
20332 AL HIGHWAY 33, MOULTON, AL 35650-9204
(256) 974-4900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17071
AL
Other
Enumeration date
06/27/2017
Last updated
04/21/2020
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