Individual
DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3800 MARKET ST, PASCAGOULA, MS 39567-3036
(228) 202-8215
Mailing address
1300 GREEN WAVE CT, MOBILE, AL 36618-2069
(201) 283-4136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14054
MS
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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