Organization
WILSON PHARMACY, INC
Active
Other names
Wilson Pharmacy Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
LISA AUSTIN (AVP REIMBURSEMENT)
(423) 431-1941
Entity
Organization
Contact information
Practice address
523 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8213
(423) 926-6154
(423) 232-9875
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 926-6154
(423) 232-9875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
490
TN
Other
Enumeration date
06/04/2008
Last updated
11/17/2017
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