Individual
DR. BRANCE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
309 N MAIN ST, LOCKNEY, TX 79241-9800
(806) 652-3353
Mailing address
PO BOX 1122, LOCKNEY, TX 79241-1122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53205
TX
Other
Enumeration date
03/24/2011
Last updated
07/30/2021
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