Individual
DR. LISA N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1415 HIGHWAY 67 S, POCAHONTAS, AR 72455-4000
(870) 892-4441
Mailing address
813 ROLLING FOREST DR, JONESBORO, AR 72404-0714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11577
AR
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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