IndividualActive
Dwayne Wilson
NPI 1215539523 · Pharmacist · Bishop, CA
Dwayne Wilson is a Pharmacist provider in Bishop, CA (NPI 1215539523).
Provider details
- NPI number
- 1215539523
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26567 (CA)
Practice location
644 W Line St
Bishop, CA 93514-3315
Phone: (760) 872-2522
Street-level locationGet directions
Mailing address
644 W Line St
Bishop, CA 93514-3315
Registry dates
- Enumerated
- 2020-11-11
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.