Individual
MELISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CLINIC DR, HOPKINSVILLE, KY 42240-4989
(270) 886-9916
(270) 887-9393
Mailing address
375 EVERETT LN, HOPKINSVILLE, KY 42240-9519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017148
KY
Other
Enumeration date
04/25/2020
Last updated
04/17/2021
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