Dwayne Norton Wilson

Pharmacist · Bishop, CA

Individual Active NPI

NPI number 1215539523

Practice location

644 W Line St
Bishop, CA 93514-3315
Phone
(760) 872-2522

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NPI record

NPI
1215539523
Entity type
Individual (Type 1)
Enumeration date
November 11, 2020
Last updated
November 11, 2020
Certified
November 11, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26567 CA

About Dwayne Wilson

Dwayne Norton Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 644 W Line St, Bishop, CA 93514-3315. The NPI number 1215539523 was assigned on November 11, 2020 and the record was last updated on November 11, 2020.

Dwayne Wilson lists a license in the registry: #26567 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dwayne Norton Wilson?

The NPI number is 1215539523.

What is the phone number of Dwayne Wilson?

The phone number listed for the practice location is (760) 872-2522.

Where is Dwayne Wilson located?

644 W Line St, Bishop, CA 93514-3315.

What is the taxonomy code for Dwayne Wilson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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