NPI 1003239237

Jay C Wise, PHARMD

Practitioner Pharmacist Tucson, AZ

Practice location

Address: 1682 W Petunia Pl, Tucson, AZ 85737
Phone: (520) 471-2447

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 9472 (AZ)

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Registry record

NPI: 1003239237
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2014
Record last updated: 23 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.