David Alan Wilson

Pharmacist · Eagle River, WI

Individual Active NPI

NPI number 1619220175

Practice location

925 E Wall St
Eagle River, WI 54521-8720
Phone
(715) 479-6413
Fax
(715) 479-4621

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NPI record

NPI
1619220175
Entity type
Individual (Type 1)
Enumeration date
October 22, 2012
Last updated
October 22, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 10409-40 WI

Mailing address

PO Box 1059
Eagle River, WI 54521-1059
Phone
(715) 479-4613
Fax
(715) 479-4621

About David Wilson

David Alan Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 925 E Wall St, Eagle River, WI 54521-8720. The NPI number 1619220175 was assigned on October 22, 2012 and the record was last updated on October 22, 2012.

David Wilson lists a license in the registry: #10409-40 (WI) 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 David Alan Wilson?

The NPI number is 1619220175.

What is the phone number of David Wilson?

The phone number listed for the practice location is (715) 479-6413.

Where is David Wilson located?

925 E Wall St, Eagle River, WI 54521-8720.

What is the taxonomy code for David 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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