Individual
ERIC WIGMOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5506 N ROAD 68, PASCO, WA 99301-9627
(509) 547-1789
Mailing address
5506 N ROAD 68, PASCO, WA 99301-9627
(509) 547-1789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60557087
WA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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