Individual
JOHN WISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 3RD AVENUE, KALISPELL, MT 59901-4109
(406) 257-1397
Mailing address
195 3RD AVENUE, KALISPELL, MT 59901
(406) 257-1397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2667
MT
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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