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MARGIE M WILEY

>> Technician, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1306909569

Individual Registrant:
 MARGIE M WILEY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
MT. VERNON PHARMACY 19390 HWY 43 & MILDRED ST. MT. VERNON, AL 36560 US
Tel: 251-829-6628  Fax: --

Contact information for business:
71 LANE LAND PO BOX 294 CALVERT, AL 36513 US
Tel: 251-829-9316  Fax: --

Registration Information:
NPI: 1306909569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247200000XTechnologists, Technicians & Other Technical Service Providers
Technician, Other

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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