Individual
MR. CHARLES MARION WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5712 CASTLE HAYNE RD, CASTLE HAYNE, NC 28429-5112
(910) 675-2222
(910) 675-2643
Mailing address
5712 CASTLE HAYNE RD, CASTLE HAYNE, NC 28429-5112
(910) 675-2222
(910) 675-2643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655597
—
NC
Enumeration date
06/21/2011
Last updated
06/21/2011
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