MR. Dan Wiese, RPH

NPI #1245781103 in Silvis, Illinois

Provider Information

NPI Number
1245781103
Entity Type
Individual
Name
MR. Dan Wiese, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 16, 2016
Last Updated
Oct 16, 2016

Practice Location

Address
1601 18TH ST
City
Silvis
ZIP Code
61282-1707
Phone
(309) 796-3673

Specialties & Taxonomy Codes

Specialty
Pharmacist

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