Individual
PATRICIA MELONEE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1500 E WOODROW WILSON AVE, 119A, JACKSON, MS 39216-5116
(601) 364-1555
Mailing address
1500 E. WOODBOUL WILSON, 119A, JACKSON, MS 39216-5116
(601) 364-1555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-6339
MS
183500000X
Pharmacist
E6339
MS
Other
Enumeration date
08/24/2006
Last updated
08/06/2008
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