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NPI Code Detail

MEDICARE: MR. JAMES MICHAEL WILSON R.PH., MBA

MEDICARE:  MR. JAMES MICHAEL WILSON  R.PH., MBA
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
1183500000XPharmacistRP032585LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RP032585LOTHERPASTATE PHARMACY LICENSE

General Provider Information

NPI Number : 1386641603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MICHAEL WILSON R.PH., MBA
Provider Business Mailing Address
First Line : 708 HARROWGATE LN
Second Line :
City : NEW HOPE
State : PA
Zip : 18938-1081
Country : US
Telephone Number : 215-499-9844
Fax Number :
Provider Business Practice Location Address
First Line : 708 HARROWGATE LN
Second Line :
City : NEW HOPE
State : PA
Zip : 18938-1081
Country : US
Telephone Number : 215-499-9844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 08/24/2016

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Directions to “ MR. JAMES MICHAEL WILSON R.PH., MBA” Practice Location

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