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Individual
MICHAEL PAUL WILSON
Active
Individual
MICHAEL PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16146
LA
183500000X
Pharmacist
Primary
37177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37177
STATE OF TEXAS BOARD OF PHARMACY
TX
Enumeration date
03/22/2010
Last updated
03/22/2010
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