Individual
COZI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
404 W CENTRAL AVE, COMANCHE, TX 76442-2706
(325) 356-5276
Mailing address
404 W CENTRAL AVE, COMANCHE, TX 76442-2706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81189
—
TX
Enumeration date
12/14/2019
Last updated
11/27/2023
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