IndividualActive
Mary Wilson, PHARM.D.
NPI 1114148491 · Pharmacotherapy Pharmacist · Leawood, KS
Provider details
- NPI number
- 1114148491
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 03-2-25350 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
2305 W 123rd Ter
Leawood, KS 66209-1316
Phone: (816) 588-2215
Approximate (ZIP-level) locationGet directions
Mailing address
2305 W 123rd Ter
Leawood, KS 66209-1316
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.