Lawrence Wade Wilson RPH

NPI 1760598940 - Pharmacist - 183500000X

NPI Details
NPI 1760598940
Gender Male
Enumeration Date 08/21/2006
Last Updated 05/05/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
275 CUMBERLAND BND
NASHVILLE TN, 37228-1805, US
Phone (615) 743-1609
Fax (615) 743-1670
Business Location
504 HEARTHSTONE CIR
BRENTWOOD TN, 37027-4323, US
Phone (615) 371-8225
Fax
Toxanomy
Taxonomy Code 183500000X
License State Tennessee
License Number C-5331
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According to our database, Mr. Lawrence Wade Wilson RPH NPI is 1760598940, taxonomy code is 183500000X and license number is C-5331, license state is located at Tennessee. Lawrence Wade Wilson RPH physically located at 275 Cumberland Bnd, Nashville TN, 37228-1805. NPI Number Lawrence Wade Wilson RPH has the Individual type.

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1760598940 NPI number is provided on an as is basis without warranty of any kind. 1760598940 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Wade Wilson RPH are for informational purposes only.