Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK WILSON
Active Sole ProprietorMR. JACK WILSON is a Pharmacist healthcare provider located in BROOKLYN, New York. NPI 1396806519 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BROOKLYN, NY
Registration Details
- NPI Number
- 1396806519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.690944167714 yrs)
- Last Updated
- Jul 8, 2007
- License
-
014795 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8823 AVENUE LBROOKLYN, NY, 112364781Browse NY providers · Browse ZIP 11236
- Phone
- 7182514005
- Fax
- 7182514006
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| RUSSELL LUKYANOVSKY | RPH | 1720081284 |
| INNA LUKYANOVSKY | RPH, CGP | 1386647964 |
| DR. SAMANTHA PAIGE JELLINEK | PHARM.D., BCPS | 1316943871 |
| DR. VICTOR COHEN | PHARMD, BCPS | 1750387866 |
| WENDY W YUEN | — | 1194726174 |
| MAHMOOD ALAM | RPH | 1841291994 |
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.