Jennifer Wisen, PHARM.D.

NPI #1164968632 in Mentor, Ohio

Provider Information

NPI Number: 1164968632
Entity Type: Individual
Name: Jennifer Wisen, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Jan 9, 2017
Last Updated: Jan 9, 2017

Practice Location

Address: 7796 MUNSON RD
City: Mentor
State: Ohio
ZIP Code: 44060-3745
Phone: (440) 257-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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