Individual
DR. LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
5 ALLEN CHAPEL RD, SOUTHSIDE, AR 72501-9787
(870) 251-2432
Mailing address
5 ALLEN CHAPEL RD, SOUTHSIDE, AR 72501-9787
(870) 251-2432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10780
AR
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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