Individual
KYLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2013 UNIVERSITY AVE, OXFORD, MS 38655-3511
(662) 236-6811
Mailing address
1178 HIGHWAY 9 S LOT 2, BLUE SPRINGS, MS 38828-9171
(662) 322-2134
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-16618
MS
Other
Enumeration date
07/23/2020
Last updated
08/07/2020
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