Individual
DR. ETHAN BLAKE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1300 7TH ST NW STE 200, WASHINGTON, DC 20001-3504
(202) 930-4242
Mailing address
1300 7TH ST NW STE 200, WASHINGTON, DC 20001-3504
(202) 930-4242
(202) 930-4243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202217618
VA
183500000X
Pharmacist
29328
MD
183500000X
Pharmacist
61933
TX
183500000X
Pharmacist
Primary
PH100003571
DC
Other
Enumeration date
12/01/2017
Last updated
12/12/2023
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