| NPI | 1184736019 |
|---|---|
| Doing Business As | WILSON DRUG |
| Entity Type | Organization |
| Authorized Contact | LESLIE CAPELLA Owner 754-802-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26163) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH18748) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-16 |