Healthcare Provider Details

I. General information

NPI: 1386711703
Provider Name (Legal Business Name): WILBUR EMBREE PRICE R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 HWY 43
SATSUMA AL
36572-0488
US

IV. Provider business mailing address

3428 OAKRIDGE LN
SARALAND AL
36571-8719
US

V. Phone/Fax

Practice location:
  • Phone: 251-675-2070
  • Fax: 251-675-7785
Mailing address:
  • Phone: 251-675-0601
  • Fax: 251-675-7785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6822
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: