Individual
DR. BROCK ELLIOT WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
103 W 2ND ST, KENLY, NC 27542-5004
(919) 284-2010
(919) 284-2231
Mailing address
PO BOX 235, KENLY, NC 27542-0235
(919) 284-2010
(919) 284-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19919
NC
Other
Enumeration date
10/19/2011
Last updated
11/07/2016
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