Individual
DARRELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(150) 948-8525
Mailing address
5100 W CLEARWATER AVE APT C202, KENNEWICK, WA 99336-2085
(509) 488-5256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00070063
WA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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