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Contact Information

AMANDA F WILSON, PHARM.D.
101 W DAUGHERTY ST
WEBB CITY, MO64870-1924
 Phone: 417-673-4664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for AMANDA F WILSON · (Female)

NPI # 1033524822
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/30/2014
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PD12755
  • MO License # 2015020496
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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