Kimberly Anne Wildermuth, PHARMD

NPI #1407039449 in Brockport, New York

Provider Information

NPI Number: 1407039449
Entity Type: Individual
Name: Kimberly Anne Wildermuth, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 13, 2007
Last Updated: Feb 19, 2010

Practice Location

Address: 73 N MAIN ST
Address 2: BIG M SHOPPING CENTER
City: Brockport
State: New York
ZIP Code: 14420-1648
Phone: (585) 637-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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