Stephen J Wild, R.PH

NPI #1073783072 in Hines, Illinois

Provider Information

NPI Number: 1073783072
Entity Type: Individual
Name: Stephen J Wild, R.PH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH
Enumeration Date: Mar 5, 2008
Last Updated: Mar 5, 2008

Practice Location

Address: 5TH & ROOSEVELT BLDG 37 NW CORNER
Address 2: DEPARTMENT OF VETERANS AFFAIRS, GL-CMOP
City: Hines
State: Illinois
ZIP Code: 60141-5221
Phone: (708) 786-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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