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Individual

ELIZABETH WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3832 E SPEEDWAY BLVD, TUCSON, AZ 85716-4039
(520) 323-3923
Mailing address
18817 S AVENIDA PASO CORTITO, SAHUARITA, AZ 85629-8179
(970) 560-2826

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0023850
CO
183500000X
Pharmacist
Primary
S025626
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S025626
AZ BOARD OF PHARMACY
AZ
Enumeration date
04/01/2022
Last updated
04/01/2022
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