Individual
DWAYNE G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP, CDM
Contact information
Practice address
7524 KARL DR, LINCOLN, NE 68516-4372
(402) 489-2915
(402) 489-3052
Mailing address
7524 KARL DR, LINCOLN, NE 68516-4372
(402) 489-2915
(402) 489-3052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7975
NE
Other
Enumeration date
08/18/2005
Last updated
03/19/2014
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