Individual
BRIAN EUGENE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
517 N GREEN ST, HENDERSON, KY 42420-2947
(270) 827-1897
(270) 827-1809
Mailing address
14919 STATE ROUTE 1078 S, HENDERSON, KY 42420-9256
(270) 860-1997
(270) 546-2275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12268
KY
183500000X
Pharmacist
15893
CO
183500000X
Pharmacist
PS39753
FL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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