Individual
SAMUEL A. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5100 HIGHWAY 39 N, MERIDIAN, MS 39301-1023
(601) 485-0818
Mailing address
6704 11TH AVE, MERIDIAN, MS 39305-1131
(601) 479-7069
(601) 483-3772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-6713
MS
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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