Provider Demographics
NPI:1649954603
Name:WILDER, SABRINA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:MARIE
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 1:1455 MCCURRY LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-0336
Mailing Address - Country:US
Mailing Address - Phone:334-524-2333
Mailing Address - Fax:
Practice Address - Street 1:2415 MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8480
Practice Address - Country:US
Practice Address - Phone:334-502-8672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022094183500000X
AL15714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist