MS. Reva A Wilson
MS. Reva A Wilson is a Pharmacist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
Practice location Address checks out
1620 S Broadway AveTyler, TX 75701-4260
Phone: (903) 533-0667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 49157 (TX) |
|---|
Record details
| NPI number | 1205118981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 19, 2011 |
| Last updated in NPPES | September 19, 2011 |
| Mailing address | 5348 Old Jacksonville Hwy, Apt 1309, Tyler, TX 75703-3350 |
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