NPI 1285822809

Wilson Medical Consulting

Organisation Community/Retail Pharmacy Chehalis, WA

Practice location

Address: 108 Polaris Pl, Chehalis, WA 98532-9023
Phone: (360) 748-9320
Fax: (360) 748-9396

Authorised official

Name: Terry L Wilson Pa-C
Title: Provider/Owner
Phone: (360) 748-9320

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PA10000075 (WA)

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Registry record

NPI: 1285822809
Entity type: Organization
NPI issued: 9 Oct 2007
Record last updated: 20 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.