Stephen Wilson, RPH

NPI #1003289877 in Bandon, Oregon

Provider Information

NPI Number: 1003289877
Entity Type: Individual
Name: Stephen Wilson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 3, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 44 MICHIGAN AVE NE
City: Bandon
State: Oregon
ZIP Code: 97411-9743
Phone: (541) 347-9457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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