Clinton Brad Wilson
NPI #1548860265 in Monticello, Florida
Provider Information
- NPI Number
- 1548860265
- Entity Type
- Individual
- Name
- Clinton Brad Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 30, 2020
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 650 HIAWATHA FARMS RD
- City
- Monticello
- State
- Florida
- ZIP Code
- 32344-0821
- Phone
- (850) 728-2562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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