Individual
CARISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 MUSCATINE AVE UNIT 100, IOWA CITY, IA 52240-6637
(319) 337-3526
Mailing address
728 WESTGATE ST APT 3, IOWA CITY, IA 52246-4642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25567
IA
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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