Individual
DR. JUSTIN WILSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1404 SUPERIOR ST, LINCOLN, NE 68521-1945
(402) 477-2622
Mailing address
11904 TIMBERRIDGE DR, PAPILLION, NE 68133-4764
(402) 312-7230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13718
NE
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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