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

Kevin Robert Wilson, DOCTOROFPHARMACY

Individual provider Pharmacist · NPI 1134750748

Kevin Robert Wilson, DOCTOROFPHARMACY is a Pharmacist in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

4995 Highland Rd
Waterford, MI 48328-1143
Phone: (248) 674-2261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5315098302 (MI)

Record details

NPI number1134750748
Entity typeIndividual (Type 1)
GenderMale
Credentials DOCTOROFPHARMACY
Sole proprietorYes
NPI enumeratedFebruary 1, 2020
Last updated in NPPESFebruary 1, 2020
Certification dateFebruary 1, 2020

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