NPI 1003196130

Casey James Wilbert, PHARMD

Practitioner Pharmacist Johnson City, TN

Practice location

Address: 400 N State of Franklin Rd, Johnson City, TN 37604-6035
Phone: (423) 431-2787
Mailing address: 1406 Skyline Dr APT L 74, Johnson City, TN 37604-4344

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 36147 (TN)

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Registry record

NPI: 1003196130
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2011
Record last updated: 20 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.