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Individual

NIKITA S WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 S GREENE ST, DEPT OF PHARMACY; ROOM N11E02, BALTIMORE, MD 21201-1544
(410) 328-3515
Mailing address
22 S GREENE ST, DEPT OF PHARMACY; ROOM N11E02, BALTIMORE, MD 21201-1544
(410) 328-3515

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19408
MD

Other

Enumeration date
05/29/2007
Last updated
04/21/2010
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