Individual
MR. SAMUEL ROGERS WETHERILL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
3931 KIRKWOOD HWY, 7221ST MSU, WILMINGTON, DE 19808-5119
(410) 920-4494
Mailing address
3931 KIRKWOOD HWY, 7221ST MSU, WILMINGTON, DE 19808-5119
(410) 920-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2848
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO NUMBER
MILITARY TRICARE
DE
Enumeration date
02/13/2008
Last updated
02/13/2008
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