BRANDY MARIE WIMER
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1134549769- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1401 N 10TH AVE, STAYTON, OR, 973831311
- Phone
- (503) 769-2175
Specialties & Taxonomies
Pharmacist
Primary License: OR #RPH-0014849
Pharmacy