NPI | 1831743632 |
---|---|
Doing Business As | WISE RX |
Entity Type | Organization |
Authorized Contact | MATTHEW SCOTT VILLIARD Pharmacist 276-321-0088 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-11-07 |