Organization
WILSON PHARMACY INC
Active
Other names
Ballad Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-1990
(276) 258-1999
Mailing address
311 PRINCETON RD SUITE 1, JOHNSON CITY, TN 37601-2026
(276) 258-1990
(276) 258-1999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004496
VA
Other
Enumeration date
01/14/2013
Last updated
04/18/2024
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