DR. Idara Wilson

NPI #1922696426 in Humble, Texas

Provider Information

NPI Number: 1922696426
Entity Type: Individual
Name: DR. Idara Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 10, 2021
Last Updated: Jan 10, 2021

Practice Location

Address: 7440 FM 1960 RD E
City: Humble
State: Texas
ZIP Code: 77346-3129
Phone: (281) 852-8088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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