Individual
MARIO WILMATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 629-1450
Mailing address
3800 E 4TH ST APT 18, TUCSON, AZ 85716-5054
(505) 737-9126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS5161
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS51561
FL
Other
Enumeration date
04/01/2014
Last updated
08/08/2019
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