Individual provider · Type 1 NPI

Kenneth L. Wilson

Pharmacist · Loganville, GA

NPI number 1972886067 Active

Practice location

4398 Atlanta Hwy
Loganville, GA 30052-7314

Call (678) 639-0129 Map

Fax (678) 639-1547

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10952 (GA)

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 1972886067

Kenneth L. Wilson's National Provider Identifier is 1972886067, issued on Sep 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Loganville, GA. The record was last updated on Sep 24, 2011.