Individual
AMI WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5206 4TH ST, LUBBOCK, TX 79416-4302
(806) 792-1377
Mailing address
5206 4TH ST, LUBBOCK, TX 79416-4302
(806) 792-1377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43363
STATE BOARD OF PHARMACY
TX
Enumeration date
11/11/2020
Last updated
11/11/2020
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