Individual
COLTON JOE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 E DOUGLAS ST, ONEILL, NE 68763-1829
(402) 336-2660
Mailing address
514 E KILDARE DR, ONEILL, NE 68763-1142
(402) 217-4647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16205
NE
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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