Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN BLAKE WILSON, PHARM.D.
ActivePharmacist · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1861487340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.619714996204 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13059 (OK)
Practice Information
- Address
-
1212A S DOUGLAS BLVDMIDWEST CITY, OK, 731305213Browse OK providers · Browse ZIP 73130
- Phone
- 4057411200
- Fax
- 4057411224
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MIDWEST CITY, OK
| Name | Credential | NPI |
|---|---|---|
| TIFFANY A BAKER | PHARM. D. | 1891780383 |
| STEVEN RANDOLPH MATLOCK | DPH | 1821101627 |
| MARK GREGORY MURPHY | DPH | 1861507816 |
| DR. MARK ALLEN STRIMPLE | PH.D. | 1396822094 |
| MR. LYNN MOGG | D.PH. | 1871664078 |
| JOHN PHILLIP MOSS | DPH | 1902974132 |
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.