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1558414110
STEPHEN WISE
PHILADELPHIA, PA
NPI
1558414110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA rp043577r)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- STEPHEN WISE r.ph
135 S 19TH ST APT. 903
PHILADELPHIA, PA 19103-4912
Phone number: 215-563-6663
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Mailing Address
-- STEPHEN WISE r.ph
135 S 19TH ST APT. 903
PHILADELPHIA, PA 19103-4912
Phone number: 215-563-6663
Copy
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