Individual
MATTHEW CLARK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6555 QUINCE RD, MEMPHIS, TN 38119-8202
(901) 515-5600
(901) 515-5658
Mailing address
6555 QUINCE RD, MEMPHIS, TN 38119-8202
(901) 515-5600
(901) 515-5658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7706
TN
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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