Marc Wilson

NPI #1922479039 in Wellington, Kansas

Provider Information

NPI Number
1922479039
Entity Type
Individual
Name
Marc Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 14, 2015
Last Updated
Oct 14, 2015

Practice Location

Address
2022 E 16TH ST
State
Kansas
ZIP Code
67152-8151
Phone
(620) 326-3321

Specialties & Taxonomy Codes

Specialty
Pharmacist

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