Wilkerson, Dwain Davis

Wilkerson, Dwain Davis is an individual health care provider with primary practice located at 1650 Cochrane Cir Unit Meddac , Fort Carson CO 80913-4604. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Wilkerson, Dwain Davis can be contacted via phone (719) 526-7000.

Contact Information

Primary practice address
1650 Cochrane Cir Unit Meddac Fort Carson CO 80913-4604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202207917 Virginia
Pharmacy Service Providers / Ambulatory Care 1835P2201X 21939 Colorado
Pharmacy Service Providers / Pharmacist 183500000X PHA.0021939 Colorado

Profile Details

NPI number 1205164779
LBN Legal business name Wilkerson, Dwain Davis
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2009
Last updated May 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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