Individual
NATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 FALLS BLVD S, WYNNE, AR 72396-3505
(870) 238-7085
Mailing address
804 FALLS BLVD S, WYNNE, AR 72396-3505
(870) 238-7085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16623
AR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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