Individual
DR. NATHANIEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
429 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-0068
(423) 975-0061
Mailing address
429 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-0068
(423) 975-0061
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0000042121
TN
333600000X
Pharmacy
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Other
Enumeration date
08/12/2020
Last updated
08/13/2020
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