DR. Kenneth Joseph Wilson, PHARM.D.

NPI #1376145482 in Cahokia, Illinois

Provider Information

NPI Number: 1376145482
Entity Type: Individual
Name: DR. Kenneth Joseph Wilson, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Nov 13, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 1201 CAMP JACKSON RD
City: Cahokia
State: Illinois
ZIP Code: 62206-2231
Phone: (618) 332-2904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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