Individual
DOUGLAS ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
397 BALTIMORE RD, SHIPPENSBURG, PA 17257-9567
(717) 532-7170
Mailing address
397 BALTIMORE RD, SHIPPENSBURG, PA 17257-9567
(717) 532-7170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
202214458
VA
183500000X
Pharmacist
23841
MD
183500000X
Pharmacist
Primary
RP450216
PA
Other
Enumeration date
04/20/2018
Last updated
06/06/2022
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