Provider Demographics
NPI:1376919886
Name:PLEASANTS, WILBER MITCHELL (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILBER
Middle Name:MITCHELL
Last Name:PLEASANTS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 PRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-5433
Mailing Address - Country:US
Mailing Address - Phone:901-388-0507
Mailing Address - Fax:901-388-0407
Practice Address - Street 1:5169 BRUNSWICK ROAD
Practice Address - Street 2:BOX 305
Practice Address - City:BRUNSWICK
Practice Address - State:TN
Practice Address - Zip Code:38014-0305
Practice Address - Country:US
Practice Address - Phone:901-388-0507
Practice Address - Fax:901-388-0407
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist