NPI 1205424967

Holly Rebecca Wilson

Practitioner Pharmacy Technician Waco, TX

Practice location

Address: 1412 N Valley Mills Dr, Waco, TX 76710-4461
Phone: (254) 761-5200
Mailing address: 15885 Kari Ln, Troy, TX 76579-3522

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 104608 (TX)

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Registry record

NPI: 1205424967
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2021
Record last updated: 7 Jan 2021

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.