Wilson-Southerland, Myra Joy

Wilson-Southerland, Myra Joy is an individual health care provider with primary practice located at 1100 E Wendover Ave , Greensboro NC 27405-6713. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Wilson-Southerland, Myra Joy can be contacted via phone (336) 641-6582.

Contact Information

Primary practice address
1100 E Wendover Ave Greensboro NC 27405-6713
Phone: (336) 641-6582
Fax: (336) 641-6971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 05778 North Carolina
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 05778 North Carolina

Profile Details

NPI number 1396878526
LBN Legal business name Wilson-Southerland, Myra Joy
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 23rd, 2007 - about 17 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.

Request for update

Popular Providers