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Individual
TAMI WILSON
Active
Individual
TAMI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH-000016555
WA
183500000X
Pharmacist
PH00016555
WA
183500000X
Pharmacist
RPH-0009116
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH-000016555
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0009116
OR
Other
Enumeration date
06/08/2018
Last updated
08/01/2018
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