Individual
MR. MICHAEL JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
14 COLLEGE HWY, SOUTHAMPTON, MA 01073-9406
(413) 527-0777
Mailing address
14 COLLEGE HWY, SOUTHAMPTON, MA 01073-9406
(413) 527-0777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233264
MA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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