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

Poppy Wilson Sr.

Individual provider Pharmacist · NPI 1740490861

Poppy Wilson Sr. is a Pharmacist in Vancouver, Washington. Licensed in Montana and Washington. Registered with an NPI since 2007.

Licensed in
MT, WA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4701 NE 72nd Ave Apt 155
Vancouver, WA 98661-8104
Phone: (406) 239-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00065100 (WA)
Pharmacist Taxonomy 183500000X · Licence 5323 (MT)

Record details

NPI number1740490861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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