Individual
EVAN HUNTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3001 AVENUE A, DODGE CITY, KS 67801-2270
(620) 225-8440
Mailing address
3001 AVENUE A, DODGE CITY, KS 67801-2270
(620) 225-8440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102855
KS
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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