Individual
DR. JENIFER L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 W PLATTE AVE, FORT MORGAN, CO 80701-2144
(970) 867-9201
(970) 867-5228
Mailing address
929 LAKE ST, FORT MORGAN, CO 80701-3028
(970) 867-4979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16954
CO
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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