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Individual

BRENDA M WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
301 FISHER ST # 2B, BILOXI, MS 39534-2508
(228) 377-9240
Mailing address
23375 LOWE DAVIS RD, COVINGTON, LA 70435-6511
(985) 249-3892

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS57154
FL

Other

Enumeration date
10/25/2018
Last updated
10/25/2018
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