Individual provider · Type 1 NPI

Clifford Eleazer Wilson

Pharmacist · Wharton, TX

NPI number 1750886495 Active

Practice location

214 W Alhdag Avenue
Wharton, TX 77488

Fax (979) 282-2202

Mailing address

214 W Ahldag St
Wharton, TX 77488-2410

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19083 (TX)

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 1750886495

Clifford Eleazer Wilson's National Provider Identifier is 1750886495, issued on Mar 26, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wharton, TX. The record was last updated on Mar 26, 2018.