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NPI Code Detail

MEDICARE: DR. JULIANA WILSON PHARM.D.

MEDICARE: DR. JULIANA WILSON PHARM.D.
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
1183500000XPharmacist67810CA
21835P2201XAmbulatory Care Pharmacist67810CA

General Provider Information

NPI Number : 1376807891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIANA WILSON PHARM.D.
Provider Business Mailing Address
First Line : 1428 WARD ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2326
Country : US
Telephone Number : 310-562-3053
Fax Number :
Provider Business Practice Location Address
First Line : 200 MUIR RD
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4672
Country : US
Telephone Number : 925-372-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 09/11/2023

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