Provider Demographics
NPI:1174849137
Name:WILSON, SOMNIT K (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:SOMNIT
Middle Name:K
Last Name:WILSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 HONEOYE FALLS 5 PTS RD
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9038
Mailing Address - Country:US
Mailing Address - Phone:585-410-3096
Mailing Address - Fax:
Practice Address - Street 1:4133 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1253
Practice Address - Country:US
Practice Address - Phone:585-345-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0396731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist