Individual
KELCEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-3737
Mailing address
45 GREEN ST APT 1, LEBANON, NH 03766-1755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA-PHA-LIC-88451
MT
183500000X
Pharmacist
Primary
PHCY-05207
NH
Other
Enumeration date
07/25/2025
Last updated
06/18/2026
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