Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5349 CYPRESS ST, WEST MONROE, LA 71291-7505
(318) 397-8152
Mailing address
122 SOUTHERN LAKES DR, CALHOUN, LA 71225-8604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024955
LA
Other
Enumeration date
09/12/2023
Last updated
09/14/2023
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