Individual
DR. KRISTEN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1330 SENTARA PARK, VIRGINIA BEACH, VA 23464-5884
(757) 252-3304
Mailing address
1389 DEPAUL WAY, VIRGINIA BEACH, VA 23464-4631
(757) 717-1982
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202209472
VA
1835P2201X
Ambulatory Care Pharmacist
0202209472
VA
Other
Enumeration date
11/11/2021
Last updated
04/09/2025
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