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Ms. Reva A Wilson
Pharmacist in Tyler, Texas
NPI 1205118981

Reva A Wilson is a Pharmacist based in Tyler, TX. Reva A Wilson practices in Tyler, TX. The NPI Number for Reva A Wilson is 1205118981 and holds a License No. 49157 (Texas).

The current practice location address for Reva A Wilson is 1620 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-533-0667. You can also correspond with Reva A Wilson through the mailing address at 5348 OLD JACKSONVILLE HWY, TYLER, TX - 75703-3350 (mailing address contact number: 504-235-1679).

Location: 1620 S Broadway Ave, Tyler, TX, 75703-3350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205118981
Provider Name
Reva A Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1620 S Broadway Ave, Tyler, TX, 75703-3350
Phone Number
903-533-0667
Fax Number
Provider Enumeration Date
09/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1620 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-4260
Phone Number
903-533-0667
Fax Number
person
Provider Business Mailing Address Details
Address
1620 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-4260
Phone Number
903-533-0667
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
49157 (Texas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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