DR. Mark Leo Wilson, PHARM.D.
NPI #1053611699 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1053611699
- Entity Type
- Individual
- Name
- DR. Mark Leo Wilson, PHARM.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D.
- Enumeration Date
- Oct 29, 2010
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 5049 S 13TH ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5581
- Phone
- (913) 727-4810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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