Wilson, Katisha L

Wilson, Katisha L is an individual health care provider with primary practice located at 2782 Cobb Pkwy Nw , Kennesaw GA 30152-3472. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Wilson, Katisha L can be contacted via phone (770) 420-1092.

Contact Information

Primary practice address
2782 Cobb Pkwy Nw Kennesaw GA 30152-3472
Phone: (770) 420-1092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH032338 Georgia

Profile Details

NPI number 1265038970
LBN Legal business name Wilson, Katisha L
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - about 4 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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