Individual
DENNIS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1909 E NINE MILE RD, PENSACOLA, FL 32514-7766
(850) 471-9065
(850) 471-9163
Mailing address
1909 E NINE MILE RD, PENSACOLA, FL 32514-7766
(850) 471-9065
(850) 471-9163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7482
AL
183500000X
Pharmacist
Primary
PS21925
FL
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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