NPI 1003185539

Gregory Adam Wilson, PHARMD

Practitioner Pharmacist Blue Springs, MO

Practice location

Address: 1701 NW 7 Hwy, Blue Springs, MO 64015-1758
Phone: (816) 220-3620
Mailing address: 709 NW Whitney Dr, Grain Valley, MO 64029-9658

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2005024430 (MO)

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Registry record

NPI: 1003185539
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2011
Record last updated: 27 Apr 2015

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.