Individual
DR. BETHANY WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1502 BRAYTON AVENUE, DYERSBURG, TN 38024
(731) 285-7267
(731) 287-0438
Mailing address
1492 YELLOW TWIG LANE, DYERSBURG, TN 38024
(731) 286-4405
(731) 287-0438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9128
TN
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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