IndividualActive
Marley Wilson, PHARM.D.
NPI 1508383860 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pineville, LA
Provider details
- NPI number
- 1508383860
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 022054 (LA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone: (318) 776-5649
Fax: (318) 776-9212
Approximate (ZIP-level) locationGet directions
Mailing address
2495 Shreveport Hwy
Pineville, LA 71360-4044
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.