Organization
WISE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE D WISE II (PRESIDENT)
(303) 933-8181
Entity
Organization
Contact information
Practice address
6179 S BALSAM WAY, SUITE 150, LITTLETON, CO 80123-3091
(303) 933-8181
(303) 979-7915
Mailing address
6179 S BALSAM WAY, SUITE 150, LITTLETON, CO 80123-3091
(303) 933-8181
(303) 979-7915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79-31
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03079316
—
CO
01
—
06-11942
NABP#
CO
Enumeration date
04/20/2007
Last updated
08/22/2020
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