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NPI Code Detail

MEDICARE: JAMES PATRICK WILSON PHARMD, CDCES

MEDICARE: JAMES PATRICK WILSON PHARMD, CDCES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist53059CA

General Provider Information

NPI Number : 1063677300
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES PATRICK WILSON PHARMD, CDCES
Provider Business Mailing Address
First Line : 2919 CALLE DE MALIBU
Second Line :
City : ESCONDIDO
State : CA
Zip : 92029-5812
Country : US
Telephone Number : 858-531-6935
Fax Number :
Provider Business Practice Location Address
First Line : 408 NUTMEG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-6214
Country : US
Telephone Number : 858-531-6935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2008
Last Update Date : 02/11/2025

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