Individual
DR. CAROLE LOUISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3700 14TH AVE N, ST PETERSBURG, FL 33713-5316
(727) 215-1668
(727) 322-6101
Mailing address
3700 14TH AVE N, ST PETERSBURG, FL 33713-5316
(727) 215-1668
(727) 322-6101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS36421
FL
183500000X
Pharmacist
Primary
PU6918
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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