MR. John Stephan Wasilak, R.PH.
NPI #1154651651 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1154651651
- Entity Type
- Individual
- Name
- MR. John Stephan Wasilak, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Jan 5, 2010
- Last Updated
- Jan 5, 2010
Practice Location
- Address
- 42 WINDING PATH DR
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-0517
- Phone
- (904) 460-2123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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