Individual
MICHAEL GEORGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
840 S MILITARY HWY, VIRGINIA BEACH, VA 23464-1824
(757) 424-2306
Mailing address
6611 ELVAS LN, CHESTERFIELD, VA 23838-8704
(804) 840-0762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216824
VA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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