Individual
DR. CHARLES CHRISTIAN WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3240 IVORY COAST DR, LAS VEGAS, NV 89117-2269
(702) 643-4426
Mailing address
3240 IVORY COAST DR, LAS VEGAS, NV 89117-2269
(702) 643-4426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11874
NV
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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