Sherry Wiseley

NPI #1811273105 in Lewiston, Idaho

Provider Information

NPI Number: 1811273105
Entity Type: Individual
Name: Sherry Wiseley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 31, 2011
Last Updated: Oct 22, 2014

Practice Location

Address: 2102 NEZ PERCE DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4116
Phone: (208) 743-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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