Individual
MRS. ELIZABETH DARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, CH
Contact information
Practice address
19433 SE 266TH ST, COVINGTON, WA 98042-5037
(253) 631-1294
(253) 630-1902
Mailing address
19433 SE 266TH ST, COVINGTON, WA 98042-5037
(253) 631-1294
(253) 630-1902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009601
WA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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