Most Relevant Information
Provider Data
| NPI Number: | 1003239237 |
| Provider Name: | JAY C WISE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 9472 |
Most Important Dates
| Enumeration Date: | 01/23/2014 |
| Last Updated: | 01/23/2014 |
Provider Practice Location
1682 W PETUNIA PL
TUCSON
AZ
85737
Practice Location Phone/Fax
| Phone: | 5204712447 |
| Fax: |
Provider Mailing Location
1682 W PETUNIA PL
TUCSON
AZ
85737
Provider Mailing Phone/Fax
| Phone: | 5204712447 |
| Fax: |