KENNETH WILSON

SHIPROCK, NM
NPI1598387458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  5881924-1707)
Enumeration Date2020-05-14
Last Update Date2020-05-14
Business Address
KENNETH WILSON PharmD
HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
KENNETH WILSON PharmD
3001 CALLA LILLY
FARMINGTON, NM 87401-6714
Phone number: 801-879-9920