Individual
NATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1950 CIRCLE OF HOPE DR STE N1780, SALT LAKE CITY, UT 84112-5500
(801) 585-0172
(801) 585-2988
Mailing address
1950 CIRCLE OF HOPE DR STE N1780, SALT LAKE CITY, UT 84112-5500
(801) 585-0172
(801) 585-2988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7960198
UT
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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