Individual
DAVID WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
915 MAIN AVE, TILLAMOOK, OR 97141-3815
(503) 842-4181
Mailing address
915 MAIN AVE, TILLAMOOK, OR 97141-3815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9269
OR
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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