DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLINTON BRAD WILSON

Active Sole Proprietor

CLINTON BRAD WILSON is a Pharmacist healthcare provider located in MONTICELLO, Florida. NPI 1548860265 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MONTICELLO, FL

Registration Details

NPI Number
1548860265
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2020 (5.7739587477818 yrs)
Last Updated
Oct 30, 2020
License
PS37926 (FL)
Sole Proprietor
Yes

Practice Information

Address
650 HIAWATHA FARMS RD
MONTICELLO, FL, 323440821
Browse FL providers · Browse ZIP 32344
Phone
8507282562
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MONTICELLO, FL

Name Credential NPI
DR. BRUCE BENJAMIN MCCALL JR. PHARMD 1477638096
ANGIE BEACH WILLIAMS R.PH. 1952473217
STEVE W SMITH RPH 1184767956
DR. FRANCES SURLES PHAMD 1760939755
DR. KATIE PETERICH HEAD 1700326774
DR. MATTHEW J GRANT PHARMD 1073117610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.