Individual
GEORGANN H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
THOMSON STUDENT HEALTH CENTER PHARMACY, UNIVERSITY OF SOUTH CAROLINA, COLUMBIA, SC 29208-0001
(803) 777-4890
(803) 777-0965
Mailing address
2117 BAYBERRY CT, COLUMBIA, SC 29206-1473
(803) 787-7280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5983
SC
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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