Individual
SHEA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(402) 881-6105
Mailing address
4800 HOLDREGE ST APT 409, LINCOLN, NE 68504-3176
(402) 881-6105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17994
NE
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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