Individual
MRS. BRENDA LEE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Mailing address
108 PATRICK HENRY CT, DANVILLE, KY 40422-1788
(859) 236-0508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8487
NC
183500000X
Pharmacist
Primary
9160
KY
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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