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General NPI Number Information
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NPI Number | 1174849137
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Entity Type | Individual
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Provider Name | SOMNIT K WILSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 4133 VETERANS MEMORIAL DR
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City | BATAVIA
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State | NY
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Zip | 14020-1253
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Country | US
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Telephone | 585-345-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 707 HONEOYE FALLS 5 PTS RD
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City | HONEOYE FALLS
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State | NY
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Zip | 14472-9038
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Country | US
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Telephone | 585-410-3096
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0396731
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License Number State | NY
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