Individual
SALLY A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3721 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-6102
(573) 634-2628
Mailing address
6770 STATE ROAD J, FULTON, MO 65251-5736
(573) 544-5652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042981
BOARD OF PHARMACY
MO
Enumeration date
11/16/2020
Last updated
11/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us