SARA WISE

BELLEVILLE, IL
NPI1346524022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.289202)
Enumeration Date2011-09-29
Last Update Date2011-09-29
Business Address
-- SARA WISE
1108 HARTMAN LN
BELLEVILLE, IL 62221-7921
Phone number: 618-239-6617
Mailing Address
-- SARA WISE
421 AMY DR
O FALLON, IL 62269-3408
Phone number: 618-624-6038