Thomas Joseph Wisinski, RPH

NPI #1013271501 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1013271501
Entity Type: Individual
Name: Thomas Joseph Wisinski, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 28, 2012
Last Updated: Jun 28, 2012

Practice Location

Address: 660 N EDWARDS BLVD
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-4595
Phone: (262) 248-5610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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