Individual
DOUGLAS E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
220 W MAIN ST, KINGWOOD, WV 26537-1419
(304) 329-3600
(304) 329-3356
Mailing address
220 W MAIN ST, KINGWOOD, WV 26537-1419
(304) 329-3600
(304) 329-3356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP02219
WV
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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