DR. FANTASIA WILBURN, PHARMD

Pharmacist

Active Individual
NPI: 1063815686

Practice Address

5093 HARDY ST
Hattiesburg, MS 39402

Phone: (601) 579-6698

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes P13650 (MS)

Frequently Asked Questions

NPI 1063815686 is the National Provider Identifier for DR. FANTASIA WILBURN, PHARMD, a Pharmacist provider located in Hattiesburg, MS. This NPI was enumerated on September 28, 2014.
DR. FANTASIA WILBURN, PHARMD practices at 5093 HARDY ST, Hattiesburg, MS 39402.

Quick Facts

NPI
1063815686
Type
Individual
Enumerated
Sep 28, 2014
Last Updated
Sep 28, 2014

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