Individual
REBECCA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(850) 445-0804
Mailing address
149 LAKE FOREST DR, MONTGOMERY, AL 36117-3934
(850) 445-0804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59445
FL
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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