Individual
MRS. ANNITA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
36195 EUCLID AVE, WILLOUGHBY, OH 44094-4410
(440) 975-1983
(440) 520-7148
Mailing address
295 E 244TH ST, EUCLID, OH 44123-1432
(216) 394-3464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03223058
OH
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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