Individual
MR. GERALD WAYNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 358-7785
Mailing address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 358-7785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7243
SC
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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