Individual
DR. CHARLES PHILLIPS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
10130 HONEYSUCKLE RD, BELLEVILLE, AR 72824-8940
(479) 495-0276
Mailing address
10130 HONEYSUCKLE RD, BELLEVILLE, AR 72824-8940
(479) 495-0276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6294
AR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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