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Individual

JAMES A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1020 S FIRST AVE, COOS BAY, OR 97420-0000
(541) 269-4033
(541) 269-4034
Mailing address
3 E 1ST ST, COQUILLE, OR 97423-1846
(541) 369-2422
(541) 396-6613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
007070
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7070
OR

Other

Enumeration date
03/08/2012
Last updated
01/12/2016
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