Individual
PHILLIP I WIZWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
179 LONGWOOD AVE, BOSTON, MA 02115-5896
(617) 732-2972
(617) 732-2244
Mailing address
40 CLARISSA RD, CHELMSFORD, MA 01824-4739
(978) 256-7886
(617) 732-2244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14694
MA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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