Wise, Gary Mark
Wise, Gary Mark is an sole proprietor health care provider with primary practice located at 470 Safford Ave W , Thomasville AL 36784-3112. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wise, Gary Mark can be contacted via phone (334) 636-9809.Contact Information
Primary practice address
470 Safford Ave W
Thomasville AL 36784-3112
Phone: (334) 636-9809
Fax: (334) 636-9807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 9084 | Alabama |
Profile Details
| NPI number | 1891990131 |
|---|---|
| LBN Legal business name | Wise, Gary Mark |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891990131 | NPPES |
| Alabama | Other | 0118794 | NABP NUMBER |
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