Individual
MARTHA ELIZABETH WIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 W SOUTHERN AVE, SOUTH WILLIAMSPORT, PA 17702-7223
(570) 323-6090
Mailing address
518 W SOUTHERN AVE, SOUTH WILLIAMSPORT, PA 17702-7223
(570) 323-6090
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP041474R
PA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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