Thomas S Wightman, R.PH

NPI #1215954193 in Waterloo, Illinois

Provider Information

NPI Number: 1215954193
Entity Type: Individual
Name: Thomas S Wightman, R.PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH
Enumeration Date: Jul 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 127 S MAIN ST
City: Waterloo
State: Illinois
ZIP Code: 62298-1371
Phone: (618) 939-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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