| Doctor Name: | DR. WILEY BRANTLEY |
| NPI Number: | 1528428109 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMD |
| License Number: | 13439 |
| Business Practice Address: | 120 Muirfield Dr Youngsville, NC - 275962015 |
| Business Phone Number: | 9194266576 |
| Business Fax Number: | |
| Mailing Address: | 120 Muirfield Dr, YOUNGSVILLE |
| State: | NC |
| Postal Code: | 275962015 |
| Phone Number: | 9194266576 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0003X |
| License Number: | 13439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Community/Retail Pharmacy |
| Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |