| NPI Details | |
|---|---|
| NPI | 1104995992 |
| Gender | Male |
| Enumeration Date | 11/07/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 1717 N. 'E' STREET PENSACOLA FL, 32501, US |
|
| Phone | (850) 434-4522 |
| Fax | |
| Business Location | |
|---|---|
| 636 E ROMANA ST PENSACOLA FL, 32502-6110, US |
|
| Phone | (850) 434-0908 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 183500000X |
| License State | Florida |
| License Number | PS11417 |
| Remove 1104995992 NPI Number | |
According to our database, Robert Henry Wilson PHARMACIST NPI is 1104995992, taxonomy code is 183500000X and license number is PS11417, license state is located at Florida. Robert Henry Wilson PHARMACIST physically located at 1717 N. 'e' Street, Pensacola FL, 32501. NPI Number Robert Henry Wilson PHARMACIST has the Individual type.
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1104995992 NPI number is provided on an as is basis without warranty of any kind. 1104995992 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Henry Wilson PHARMACIST are for informational purposes only.
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