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Organization
WILSON PHARMACY GROUP, LLC
Active
Organization
WILSON PHARMACY GROUP, LLC
Active
Other names
Wilson Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANCE WILSON PHARM D (MANAGING MEMBER)
(806) 652-3353
Entity
Organization
Contact information
Practice address
1224 MAIN STREET, MATADOR, TX 79244
(806) 652-3353
(806) 652-2118
Mailing address
PO BOX 685, LOCKNEY, TX 79241-0685
(806) 652-3353
(806) 652-2118
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150426
—
TX
Enumeration date
03/22/2021
Last updated
08/27/2024
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