Individual
AMBER MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4151 4TH ST SW, MASON CITY, IA 50401-7346
(641) 423-3494
Mailing address
16227 THRUSH AVE, MASON CITY, IA 50401-8717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19541
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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