MR. Thomas Walter Wild, R.PH

NPI #1851678973 in Martinsville, Indiana

Provider Information

NPI Number
1851678973
Entity Type
Individual
Name
MR. Thomas Walter Wild, R.PH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Nov 3, 2011
Last Updated
Nov 3, 2011

Practice Location

Address
1900 S OHIO ST
State
Indiana
ZIP Code
46151-3322
Phone
(765) 394-2340

Specialties & Taxonomy Codes

Specialty
Pharmacist

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