IndividualActive
Brian Wilson, PHARMD.
NPI 1508148644 · Pharmacist · Ogallala, NE
Provider details
- NPI number
- 1508148644
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD.
- Sex
- Male
- Sole proprietor
- No
- License
- 17071 (CO)
Mailing address
23 N Spruce St
Ogallala, NE 69153-2548
Registry dates
- Enumerated
- 2011-09-14
- Last updated
- 2023-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.