Individual
MRS. DALLAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
1090 HIGH ST, HAMILTON, OH 45011-6013
(513) 868-1667
Mailing address
4292 SPYGLASS HL, MASON, OH 45040-2397
(513) 254-7457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328822
OH
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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