Most Relevant Information
Provider Data
| NPI Number: | 1003409392 |
| Provider Name: | DAVID WILSON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 2005041001 |
Most Important Dates
| Enumeration Date: | 02/17/2021 |
| Last Updated: | 02/17/2021 |
Provider Practice Location
348 NW CAPITAL DR
LEES SUMMIT
MO
640864723
Practice Location Phone/Fax
| Phone: | 8166002200 |
| Fax: |
Provider Mailing Location
348 NW CAPITAL DR
LEES SUMMIT
MO
640864723
Provider Mailing Phone/Fax
| Phone: | 8166002200 |
| Fax: |