Clinton Brad Wilson

Pharmacist · Monticello, FL

Individual Active NPI

NPI number 1548860265

Practice location

650 Hiawatha Farms Rd
Monticello, FL 32344-0821
Phone
(850) 728-2562

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NPI record

NPI
1548860265
Entity type
Individual (Type 1)
Enumeration date
October 30, 2020
Last updated
October 30, 2020
Certified
October 30, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS37926 FL

About Clinton Wilson

Clinton Brad Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 650 Hiawatha Farms Rd, Monticello, FL 32344-0821. The NPI number 1548860265 was assigned on October 30, 2020 and the record was last updated on October 30, 2020.

Clinton Wilson lists a license in the registry: #PS37926 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clinton Brad Wilson?

The NPI number is 1548860265.

What is the phone number of Clinton Wilson?

The phone number listed for the practice location is (850) 728-2562.

Where is Clinton Wilson located?

650 Hiawatha Farms Rd, Monticello, FL 32344-0821.

What is the taxonomy code for Clinton Wilson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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