Individual
REBECCA OLIVIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N PINE ST STE 32, SPARTANBURG, SC 29303-3182
(864) 585-9136
Mailing address
1000 N PINE ST STE 32, SPARTANBURG, SC 29303-3182
(864) 585-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
30571
NC
183500000X
Pharmacist
Primary
42972
SC
Other
Enumeration date
07/09/2021
Last updated
07/19/2021
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