Individual
DAVID WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
348 NW CAPITAL DR, LEES SUMMIT, MO 64086-4723
(816) 600-2200
Mailing address
348 NW CAPITAL DR, LEES SUMMIT, MO 64086-4723
(816) 600-2200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005041001
MO
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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