DR. Nicole Michele Wilson, PHARMD

NPI #1194112185 in Gardner, Kansas

Provider Information

NPI Number: 1194112185
Entity Type: Individual
Name: DR. Nicole Michele Wilson, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 750 E MAIN ST
City: Gardner
State: Kansas
ZIP Code: 66030-1744
Phone: (913) 884-7912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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