National Provider Identifier
Kimberly Anne Wildermuth, PHARMD
Kimberly Anne Wildermuth, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Brockport, NY and a listed phone number of (585) 637-1151.
Profile Overview
- NPI
- 1407039449
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 13, 2007
- Last Updated
- February 19, 2010
Practice Location
- 73 N Main St
- Big M Shopping Center
- Brockport, NY 14420-1648
Phone: (585) 637-1151
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1407039449
- Entity Type
- Individual
- Last Name
- Wildermuth
- First Name
- Kimberly
- Middle Name
- Anne
- Credential
- PHARMD
- Mailing Street Address
- 73 N Main St
- Mailing Address Line 2
- Big M Shopping Center
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1648
- Mailing Country
- US
- Mailing Phone
- (585) 637-1151
- Practice Street Address
- 73 N Main St
- Practice Address Line 2
- Big M Shopping Center
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1648
- Practice Country
- US
- Practice Phone
- (585) 637-1151
- Enumeration Date
- December 13, 2007
- Last Updated
- February 19, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 01259003 (NY)