Individual
CARLA J WILDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2070 E 90TH ST, CLEVELAND, OH 44106-2971
(216) 636-0762
Mailing address
719 BROOKSIDE LN, NORTHFIELD, OH 44067-3083
(216) 636-0762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-18095
OH
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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