Individual
MR. CHARLES W WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4675 N SHALLOWFORD RD, SUITE 101, DUNWOODY, GA 30338-6309
(770) 455-1144
(770) 936-8989
Mailing address
4675 N SHALLOWFORD RD, SUITE 101, DUNWOODY, GA 30338-6309
(770) 455-1144
(770) 936-8989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH013901
GA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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