MRS. Lydia A Wilson, R.PH.

NPI #1245381748 in Burleson, Texas

Provider Information

NPI Number: 1245381748
Entity Type: Individual
Name: MRS. Lydia A Wilson, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Jan 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 124 W RENFRO ST
City: Burleson
State: Texas
ZIP Code: 76028-4260
Phone: (817) 295-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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