Individual
CAROL R WISSOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
3600 TABLE MESA DR, BOULDER, CO 80305-5800
(303) 499-4244
Mailing address
3600 TABLE MESA DR, BOULDER, CO 80305-5800
(303) 499-4244
(303) 497-2204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16481
CO
Other
Enumeration date
04/23/2013
Last updated
04/30/2013
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