Individual
DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
192 S DRY CREEK LN, VINEYARD, UT 84059-5680
(385) 312-3901
Mailing address
192 S DRY CREEK LN, VINEYARD, UT 84059-5680
(385) 312-3901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6503518-1701
UT
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
About Stedi
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