Individual
MEGAN MARIE WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
Mailing address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13140
NE
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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