Individual
DR. MARYLYN E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
18551 N 83RD AVE, GLENDALE, AZ 85308-0501
(623) 825-7978
(623) 825-9680
Mailing address
18551 N 83RD AVE, GLENDALE, AZ 85308-0501
(623) 825-7978
(623) 825-9680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015113
AZ
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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