Individual
ANTHONY M WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4121 E COTTON CENTER BLVD, PHOENIX, AZ 85040-8849
(602) 431-5149
Mailing address
4121 E COTTON CENTER BLVD, PHOENIX, AZ 85040-8849
(602) 431-5149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP441048
PA
183500000X
Pharmacist
Primary
S015592
AZ
Other
Enumeration date
08/13/2010
Last updated
06/14/2016
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