Individual
AUSTIN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2925 SENNA DR STE 100, MATTHEWS, NC 28105-0512
(704) 814-0154
(704) 814-0520
Mailing address
2925 SENNA DR STE 100, MATTHEWS, NC 28105-0512
(704) 814-0154
(704) 814-0520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26904
NC
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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