KENNETH WAYNE WILSON

MARKSVILLE, LA
NPI1962121103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P2201X Pharmacist, Ambulatory Care
(Licence: LA  13681)
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
Mr. KENNETH WAYNE WILSON RPh
134 LA RUE MEDECINE ST
MARKSVILLE, LA 71351-2637
Phone number: 318-253-8747
Mailing Address
Mr. KENNETH WAYNE WILSON RPh
PO BOX 99
MARKSVILLE, LA 71351-0099
Phone number: 318-253-8747
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