Individual
MR. ANDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
107 N SUNSET STRIP ST, KENEDY, TX 78119-2208
(830) 583-9155
Mailing address
146 SAINT ANTHONY DR, SINTON, TX 78387-2937
(361) 947-1791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73414
TX
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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