Pamela R. Wilson

NPI #1790830396 in Stockton, Kansas

Provider Information

NPI Number: 1790830396
Entity Type: Individual
Name: Pamela R. Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 402 MAIN ST
City: Stockton
State: Kansas
ZIP Code: 67669-1930
Phone: (785) 425-7172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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