NPI 1033468376

Christine Wilson, PHARMD

Practitioner Pharmacist Longview, WA

Practice location

Address: 1615 Delaware St, Longview, WA 98632-2367
Phone: (360) 414-2000
Mailing address: 1115 SE 164th Ave Dept. 358, Vancouver, WA 98683-9324

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH00061650 (WA)

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Registry record

NPI: 1033468376
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2012
Record last updated: 16 Feb 2017

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.