Individual
DR. AMBER DIONE WILBANKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3445 TERRY RD, JACKSON, MS 39212-4956
(601) 992-8408
Mailing address
500 AVALON WAY, APT 1315, BRANDON, MS 39047-7591
(601) 992-8408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09487
MS
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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