Individual
AMY DEE WILDERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1575 LYONS RD, CENTERVILLE, OH 45458-1881
(937) 439-9779
(937) 439-5443
Mailing address
1575 LYONS RD, CENTERVILLE, OH 45458-1881
(937) 439-9779
(937) 439-5443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
011515
KY
183500000X
Pharmacist
Primary
030122458
OH
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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