IndividualActive
Pamela Wilson
NPI 1790830396 · Pharmacy Technician · Stockton, KS
Provider details
- NPI number
- 1790830396
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14-00126 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
402 Main St
Stockton, KS 67669-1930
Phone: (785) 425-7172
Fax: (755) 425-6611
Approximate (ZIP-level) locationGet directions
Mailing address
1630 Highway 183
Stockton, KS 67669-8863
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.