Individual
ADAM J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
429 N MAPLE ST, GARNETT, KS 66032-1074
(785) 448-3122
Mailing address
1020 DIAMOND HEAD RD, OTTAWA, KS 66067-1692
(785) 633-7460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-101020
KS
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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