Individual
DR. HILLARY ANN WOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
412 PAWNEE ST, CLINTON, MO 64735-2481
(660) 885-4020
Mailing address
412 PAWNEE ST, CLINTON, MO 64735-2481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012013212
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012013212
MO BOARD OF PHARMACY
MO
Enumeration date
01/19/2022
Last updated
01/19/2022
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