David Blair Wilson, R.PH.

NPI #1104464627 in Boise, Idaho

Provider Information

NPI Number: 1104464627
Entity Type: Individual
Name: David Blair Wilson, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist - Oncology
Credential: R.PH.
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 100 E IDAHO ST
City: Boise
State: Idaho
ZIP Code: 83712-6267
Phone: (208) 381-7189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist - Oncology — Oncology	1835X0200X	Primary

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