Organization
CVS CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROBERT WISNIEWSKI PHARMD. (PHARMACIST)
(716) 245-0900
Entity
Organization
Contact information
Practice address
102 ROBERTS LAKE CIR, APT 201, ARDEN, NC 28704-0405
(716) 245-0900
Mailing address
102 ROBERTS LAKE CIR, APT 201, ARDEN, NC 28704-0405
(716) 245-0900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25527
NC
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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