Individual
JAY C WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1682 W PETUNIA PL, TUCSON, AZ 85737
(520) 471-2447
Mailing address
1682 W PETUNIA PL, TUCSON, AZ 85737
(520) 471-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9472
AZ
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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