Sally A Wilson, RPH

NPI #1093318891 in Jefferson City, Missouri

Provider Information

NPI Number: 1093318891
Entity Type: Individual
Name: Sally A Wilson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 3721 W TRUMAN BLVD
City: Jefferson City
State: Missouri
ZIP Code: 65109-6102
Phone: (573) 634-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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