NPI 1073103966

Laryssa Lucille Wise

Practitioner Pharmacy Technician Spring, TX

Practice location

Address: 130 Sawdust Rd, Spring, TX 77380-2272
Phone: (281) 216-2313

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1073103966
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2021
Record last updated: 25 Jan 2021

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.