NPI 1053442681

Brian Eugene Wilson, RPH

Practitioner Pharmacist Henderson, KY

Practice location

Address: 517 N Green St, Henderson, KY 42420-2947
Phone: (270) 827-1897
Fax: (270) 827-1809
Mailing address: 14919 State Route 1078 S, Henderson, KY 42420-9256

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 12268 (KY)

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Registry record

NPI: 1053442681
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 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.