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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY K WILSON, PHARM.D.

Active Sole Proprietor

Pharmacotherapy Specialist · LEAWOOD, KS

Registration Details

NPI Number
1114148491
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2007 (18.970554503965 yrs)
Last Updated
Aug 6, 2013
Licenses
03-2-25350 (OH)
2008004871 (MO)
Sole Proprietor
Yes

Practice Information

Address
2305 W 123RD TER
LEAWOOD, KS, 662091316
Browse KS providers · Browse ZIP 66209
Phone
8165882215
Primary Specialty
Pharmacotherapy Specialist
1835P1200X
Additional Specialty
Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.