Individual
MR. WILLIAM EARL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
705 HWY 446, NIXON, NV 89424-0705
(774) 974-1018
Mailing address
1811 KIM CT, FERNLEY, NV 89408
(775) 575-9273
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
07537
MD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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