Individual
JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 E THOMAS RD, PHOENIX, AZ 85018-7505
(602) 275-7507
Mailing address
3605 E THOMAS RD, PHOENIX, AZ 85018-7505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026059
AZ
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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