| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REBECCA OLIVIA WISE | 1689245714 | 2021-07-19 |
Rebecca Olivia Wise is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689245714. Registration indicates Rebecca Olivia Wise is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers) (Pharmacy Service Providers, Pharmacist) (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Rebecca Olivia Wise |
| Practice Office Address | 1000 N PINE ST STE 32 SPARTANBURG, SC US |
| Practice Office Telephone | 8645859136 |
| Mailing Address | 1000 N PINE ST STE 32 SPARTANBURG, SC 293033182 US |
| Business Telephone | 8645859136 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 30571
NC |
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 42972
SC |