MR. Charles W Wilson JR., PHARMACIST

NPI #1235517178 in Dunwoody, Georgia

Provider Information

NPI Number
1235517178
Entity Type
Individual
Name
MR. Charles W Wilson JR., PHARMACIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMACIST
Enumeration Date
May 12, 2015
Last Updated
May 12, 2015

Practice Location

Address
4675 N SHALLOWFORD RD
Address 2
SUITE 101
State
Georgia
ZIP Code
30338-6309
Phone
(770) 455-1144

Specialties & Taxonomy Codes

Specialty
Pharmacist

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