Organization Name: | WILSON DRUG INC |
NPI Number: | 1881892453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID G WILSON (OWNER) |
Mailing Address: | 915 Main Ave Tillamook |
State: | OR US |
Postal Code: | 971413815 |
Phone Number: | 5038424181 |
Fax Number: | 5038421147 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |