Fantasia Sheanell Wilburn PHARMD

NPI 1063815686 - Pharmacist - 183500000X

NPI Details
NPI 1063815686
Gender Female
Enumeration Date 09/28/2014
Last Updated 09/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
5093 HARDY ST
HATTIESBURG MS, 39402-1336, US
Phone (601) 579-6698
Fax
Business Location
5093 HARDY ST
HATTIESBURG MS, 39402-1336, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Mississippi
License Number P13650
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According to our database, Dr. Fantasia Sheanell Wilburn PHARMD NPI is 1063815686, taxonomy code is 183500000X and license number is P13650, license state is located at Mississippi. Fantasia Sheanell Wilburn PHARMD physically located at 5093 Hardy St, Hattiesburg MS, 39402-1336. NPI Number Fantasia Sheanell Wilburn PHARMD has the Individual type.

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1063815686 NPI number is provided on an as is basis without warranty of any kind. 1063815686 is maintained by the National Plan & Provider Enumeration System. The contents of Fantasia Sheanell Wilburn PHARMD are for informational purposes only.