Individual provider · Type 1 NPI

Mark Leo Wilson, PharmD

Pharmacist · Leavenworth, KS

NPI number 1053611699 Active

Practice location

5049 S 13th St
Leavenworth, KS 66048-5581

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9433 (NE)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1053611699

Mark Leo Wilson, PharmD's National Provider Identifier is 1053611699, issued on Oct 29, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Leavenworth, KS. The record was last updated on Oct 29, 2010.