Organization
WILSON PHARMACY, INC
Active
Other names
Mountain States Pharmacy Home Infusion Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA AUSTIN (AVP REIMBURSEMENT)
(423) 431-1941
Entity
Organization
Contact information
Practice address
523 N STATE OF FRANKLIN RD STE B, JOHNSON CITY, TN 37604-8210
(423) 926-6154
(423) 232-9875
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 926-6154
(423) 232-9875
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
TN
Other
Enumeration date
04/30/2008
Last updated
11/17/2017
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