Individual
DR. ADAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1250 BRIDALWOOD LOOP, LEHI, UT 84043-4908
(208) 206-1568
Mailing address
1250 BRIDALWOOD LOOP, LEHI, UT 84043-4908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9039263-1701
UT
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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