Individual
RICHARD LEWIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10001 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2623
(317) 897-6323
Mailing address
10001 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2623
(317) 897-6323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016746A
IN
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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