James Davis Wilson

NPI #1073100558 in Brandon, Mississippi

Provider Information

NPI Number: 1073100558
Entity Type: Individual
Name: James Davis Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 335 CROSSGATES BLVD
City: Brandon
State: Mississippi
ZIP Code: 39042-2602
Phone: (601) 825-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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