Sara Wise
NPI #1346524022 in Belleville, Illinois
Provider Information
- NPI Number
- 1346524022
- Entity Type
- Individual
- Name
- Sara Wise
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 29, 2011
- Last Updated
- Sep 29, 2011
Practice Location
- Address
- 1108 HARTMAN LN
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-7921
- Phone
- (618) 239-6617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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