Healthcare Provider Details

I. General information

NPI: 1639462187
Provider Name (Legal Business Name): BARBARA ELLEN WILSON RPH,MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 05/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33151 HIGHWAY 43
THOMASVILLE AL
36784-1634
US

IV. Provider business mailing address

3607 HODGE RD
COFFEEVILLE AL
36524-6707
US

V. Phone/Fax

Practice location:
  • Phone: 334-636-4616
  • Fax: 334-636-4495
Mailing address:
  • Phone: 251-276-0817
  • Fax: 334-636-4495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12797
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: