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

Sally A Wilson, RPH

Individual provider Pharmacist · NPI 1093318891

Sally A Wilson, RPH is a Pharmacist in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3721 W Truman Blvd
Jefferson City, MO 65109-6102
Phone: (573) 634-2628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 042981 (MO)

Record details

NPI number1093318891
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address6770 State Road J, Fulton, MO 65251-5736

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