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1164736187
ANTHONY MICHAEL WISDOM
SAN ANTONIO, TX
NPI
1164736187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 36711)
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
Mr. ANTHONY MICHAEL WISDOM RPH
9255 GRISSOM RD
SAN ANTONIO, TX 78251-2805
Phone number: 210-680-2958
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Mailing Address
Mr. ANTHONY MICHAEL WISDOM RPH
9255 GRISSOM RD
SAN ANTONIO, TX 78251-2805
Phone number: 210-680-2958
Copy
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