Basic Information
| Provider Information | |||||||||
| NPI: | 1528554789 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILSON | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | BRITTAIN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD, BCACP, CPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1701 WESTCHESTER DR STE 850 | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272627254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368217107 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1208 EASTCHESTER DR STE 107 | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272653066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368022900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2018 | ||||||||
| LastUpdateDate: | 07/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | 21956 | NC | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.