Individual
ROSE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1910 W 21ST ST N, WICHITA, KS 67203-2105
(316) 838-5908
(316) 838-7239
Mailing address
1910 W 21ST ST N, WICHITA, KS 67203-2105
(316) 838-5908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09672
KS
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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