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

KENNETH L WILSON

Active Sole Proprietor

KENNETH L WILSON is a Pharmacist healthcare provider located in LOGANVILLE, Georgia. NPI 1972886067 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LOGANVILLE, GA

Registration Details

NPI Number
1972886067
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2011 (14.862525902017 yrs)
Last Updated
Sep 24, 2011
License
10952 (GA)
Sole Proprietor
Yes

Practice Information

Address
4398 ATLANTA HWY
LOGANVILLE, GA, 300527314
Browse GA providers · Browse ZIP 30052
Phone
6786390129
Fax
6786391547
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LOGANVILLE, GA

Name Credential NPI
MICHAEL DAVID GRINDSTAFF PHARM.D. 1922018720
DR. VERA ASANTE PHARMD 1538280607
MRS. ISABELLE D SNOWDEN PHARMACIST 1588827620
HUSNA TASLEEM GHAFUR PHARM.D 1063794725
ADAM FREY 1871876284
SHIRLEY ROSE PELTRO PHARM.D 1003199050
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.