Phillip Wilson

NPI #1518568435 in Paragould, Arkansas

Provider Information

NPI Number: 1518568435
Entity Type: Individual
Name: Phillip Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 2802 W KINGSHIGHWAY
City: Paragould
State: Arkansas
ZIP Code: 72450-2617
Phone: (870) 236-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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