Most Relevant Information
Provider Data
| NPI Number: | 1003196130 |
| Provider Name: | CASEY JAMES WILBERT PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 36147 |
Most Important Dates
| Enumeration Date: | 08/20/2011 |
| Last Updated: | 08/20/2011 |
Provider Practice Location
400 N STATE OF FRANKLIN RD
JOHNSON CITY
TN
376046035
Practice Location Phone/Fax
| Phone: | 4234312787 |
| Fax: |
Provider Mailing Location
1406 SKYLINE DR
APT L 74
JOHNSON CITY
TN
376044344
Provider Mailing Phone/Fax
| Phone: | 3157965852 |
| Fax: |