Individual
MR. RODGER PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1138 WYNDEMERE CIR, LONGMONT, CO 80501-2322
(303) 579-1100
(303) 702-9133
Mailing address
1138 WYNDEMERE CIR, LONGMONT, CO 80501-2322
(303) 579-1100
(303) 702-9133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1996
WY
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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