Individual
MICHAEL DAVID WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1400
(702) 877-9026
(702) 877-4816
Mailing address
4800 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1400
(702) 877-9026
(702) 877-4816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8512
NV
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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