Provider Demographics
NPI:1164700589
Name:WILDER, BRITTNEY SHERREE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:SHERREE
Last Name:WILDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:BEAN STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37708-5234
Mailing Address - Country:US
Mailing Address - Phone:423-736-3127
Mailing Address - Fax:
Practice Address - Street 1:2114 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-5412
Practice Address - Country:US
Practice Address - Phone:423-587-6526
Practice Address - Fax:423-587-3578
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist