Individual
DALE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
700 LOWER STATE RD, #1462, NORTH WALES, PA 19454-2167
(215) 643-0670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040376L
PA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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