Individual
DR. BURKE REID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
221 3RD ST W, JBSA RANDOLPH, TX 78150-4800
(701) 885-1423
Mailing address
5602 SOUTHERN OAKS, SAN ANTONIO, TX 78261-2487
(210) 808-2200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14239
NE
1835P2201X
Ambulatory Care Pharmacist
Primary
14239
NE
Other
Enumeration date
04/30/2010
Last updated
10/19/2023
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