Individual
MR. JOHN ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1528 CARRAWAY BLVD, BIRMINGHAM, AL 35234-1998
(205) 502-1010
Mailing address
341 WALKER CHAPEL PLZ STE 109, FULTONDALE, AL 35068-3404
(205) 502-1010
(866) 228-0184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10123
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115281
NCPDP NUMBER
AL
05
—
100002687
—
AL
Enumeration date
02/28/2007
Last updated
12/29/2017
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