Individual
JONATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, CC101GH, IOWA CITY, IA 52242-1009
(319) 356-2577
(319) 353-8443
Mailing address
200 HAWKINS DR, CC101GH, IOWA CITY, IA 52242-1009
(319) 356-2577
(319) 353-8443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22754
IA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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