Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Leo Wilson, PHARMD

Individual provider Pharmacist · NPI 1053611699

Dr. Mark Leo Wilson, PHARMD is a Pharmacist in Leavenworth, Kansas. Licensed in Nebraska. Registered with an NPI since 2010.

Licensed in
NE
In the registry since
2010
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

5049 S 13th St
Leavenworth, KS 66048-5581
Phone: (913) 727-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9433 (NE)

Record details

NPI number1053611699
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 29, 2010
Mailing address5049 S 13th St, Leavenworth, KS 66048-5581

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