MRS. Mallory Webb Wilson, PHARMD

NPI #1720509094 in Moulton, Alabama

Provider Information

NPI Number: 1720509094
Entity Type: Individual
Name: MRS. Mallory Webb Wilson, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 27, 2017
Last Updated: Apr 21, 2020

Practice Location

Address: 20332 AL HIGHWAY 33
City: Moulton
State: Alabama
ZIP Code: 35650-9204
Phone: (256) 974-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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