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Individual

DR. THOMAS WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2825 E BARNETT RD, PHARMACY DEPT, MEDFORD, OR 97504-8332
(541) 789-4251
Mailing address
803 SHERMAN ST, MEDFORD, OR 97504-7127
(541) 734-0860

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0008052
OR

Other

Enumeration date
03/16/2009
Last updated
03/16/2009
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