Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
108 W CALIFORNIA AVE, RUSTON, LA 71270-5014
(318) 255-1811
Mailing address
108 W CALIFORNIA AVE, RUSTON, LA 71270-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024955
LA
Other
Enumeration date
09/12/2023
Last updated
07/10/2026
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