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Individual

MARCUS LYNN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
203 MAIN ST, DREXEL, MO 64742-0619
(816) 657-2448
(816) 657-2851
Mailing address
PO BOX 619, DREXEL, MO 64742-0619
(816) 657-2448
(816) 657-2851

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44525
MO

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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