Myra Joy Wilson-Southerl in Greensboro - Pharmacist
Myra Joy Wilson-Southerl - NPI 1396878526
Myra Joy Wilson-Southerl is a Pharmacist in Greensboro, North Carolina. Myra Joy Wilson-Southerl practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Myra Joy Wilson-Southerl is 1396878526. The last update date is 2007-07-23.
Myra Joy Wilson-Southerl's current location address is 1100 E Wendover Ave, Greensboro, North Carolina. You can contact this provider via phone number 3366416582 and fax number 3366416971. The mailing address for Myra Joy Wilson-Southerl is 1100 E Wendover Ave, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra Joy Wilson-Southerl |
|---|---|
| Address | 1100 E Wendover Ave, Greensboro, North Carolina |
| Phone Number | 3366416582 |
| Fax Number | 3366416971 |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1396878526 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 1100 E Wendover Ave |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274056713 |
| Phone Number | 3366416582 |
| Fax Number | 3366416971 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5778 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Myra Joy Wilson-Southerl by the Centers for Medicare & Medicaid Services?
The Myra Joy Wilson-Southerl has been issued the NPI (National Provider Identifier) 1396878526 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Myra Joy Wilson-Southerl is geographically located?
The Myra Joy Wilson-Southerl is physically situated at the following location: 1100 E Wendover Ave, Greensboro, NC, 274056713.
What is the Myra Joy Wilson-Southerl's specialty and taxonomy code?
The Myra Joy Wilson-Southerl's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396878526 to Myra Joy Wilson-Southerl?
The Centers for Medicare & Medicaid Services assigned the 1396878526 to Myra Joy Wilson-Southerl on 2007-03-14.
As of what date were the details pertaining to Myra Joy Wilson-Southerl last refreshed?
The information related to the Myra Joy Wilson-Southerl, including its address, specialty, and other relevant details, was last updated on 2007-07-23.
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