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Individual
MR. JAMES MICHAEL WILSON
Active
Individual
MR. JAMES MICHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., MBA
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032585L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP032585L
STATE PHARMACY LICENSE
PA
Enumeration date
07/01/2005
Last updated
08/24/2016
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