Wilkinson, Bruce Alan

Wilkinson, Bruce Alan is an individual health care provider with primary practice located at 1103 Us Highway 331 S , Defuniak Springs FL 32435-3383. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wilkinson, Bruce Alan can be contacted via phone (850) 951-9882.

Contact Information

Primary practice address
1103 Us Highway 331 S Defuniak Springs FL 32435-3383
Phone: (850) 951-9882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS25388 Florida

Profile Details

NPI number 1033491402
LBN Legal business name Wilkinson, Bruce Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2011
Last updated Sep 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033491402 NPPES
Florida MEDICAID 031927900

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