Individual
AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S INTERSTATE 35, GEORGETOWN, TX 78626-5400
(512) 869-4287
Mailing address
1101 S INTERSTATE 35, GEORGETOWN, TX 78626-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72639
TX
183700000X
Pharmacy Technician
191330
TX
Other
Enumeration date
01/29/2020
Last updated
07/25/2023
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