Individual
DR. COREY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5780 TERRY RD, BYRAM, MS 39272-9745
(601) 346-2553
Mailing address
5780 TERRY RD, BYRAM, MS 39272-9745
(601) 346-2553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11727
MS
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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