| NPI | 1669576625 |
|---|---|
| Doing Business As | WILSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN MATLOCK Owner/Pharmacist/President 405-737-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-7280) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-10-25 |