Most Relevant Information
Provider Data
| NPI Number: | 1003284522 |
| Provider Name: | ERIC WIGMOSTA PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH60557087 |
Most Important Dates
| Enumeration Date: | 09/14/2015 |
| Last Updated: | 09/14/2015 |
Provider Practice Location
5506 N ROAD 68
PASCO
WA
993019627
Practice Location Phone/Fax
| Phone: | 5095471789 |
| Fax: |
Provider Mailing Location
5506 N ROAD 68
PASCO
WA
993019627
Provider Mailing Phone/Fax
| Phone: | 5095471789 |
| Fax: |