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Idara Wilson

NPI Registration Record

Provider / OrganizationNPIDate Certified
IDARA WILSON19226964262021-01-10

Idara Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922696426. Registration indicates Idara Wilson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)

Entity TypeIndividual
Provider NameDr. Idara Wilson
Practice Office Address7440 FM 1960 RD E
HUMBLE, TX US
Practice Office Telephone2818528088
Mailing Address2223 PARKVIEW LN
MISSOURI CITY, TX 774594459 US
Business Telephone8324550711
HPT Codes
CodePractice
License No
State
183500000X PRIMARY
Pharmacy Service Providers
Pharmacist
Pharmacist

Pharmacist
Pharmacy Service Providers
68036
TX
OPI Codes

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