Individual
DR. BRYAN MARK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
501 SE 18TH AVENUE, BOYNTON BEACH, FL 33435
(561) 292-4085
Mailing address
6358 HARBOUR STAR DR, LAKE WORTH, FL 33467-6842
(561) 309-2604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49231
FL
Other
Enumeration date
07/28/2012
Last updated
06/21/2013
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