Kenneth L. Wilson

Pharmacist · Loganville, GA

Individual Active NPI

NPI number 1972886067

Practice location

4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone
(678) 639-0129
Fax
(678) 639-1547

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NPI record

NPI
1972886067
Entity type
Individual (Type 1)
Enumeration date
September 24, 2011
Last updated
September 24, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 10952 GA

About Kenneth Wilson

Kenneth L. Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4398 Atlanta Hwy, Loganville, GA 30052-7314. The NPI number 1972886067 was assigned on September 24, 2011 and the record was last updated on September 24, 2011.

Kenneth Wilson lists a license in the registry: #10952 (GA) 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 Kenneth L. Wilson?

The NPI number is 1972886067.

What is the phone number of Kenneth Wilson?

The phone number listed for the practice location is (678) 639-0129.

Where is Kenneth Wilson located?

4398 Atlanta Hwy, Loganville, GA 30052-7314.

What is the taxonomy code for Kenneth 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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