Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
56130 NATIONAL RD, BRIDGEPORT, OH 43912-1529
(740) 633-3320
Mailing address
853 COUNTY ROAD 46, TORONTO, OH 43964-4026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03331556
OH
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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