Individual
BRENNA ELAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
640 OLLIE AVE, CLANTON, AL 35045-2238
(205) 755-1711
(205) 755-9601
Mailing address
640 OLLIE AVE, CLANTON, AL 35045-2238
(205) 755-1711
(205) 755-9601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15851
AL
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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