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Individual
MR. RONALD JOEL WISSUCHEK
Active
Individual
MR. RONALD JOEL WISSUCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACISTS
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0006212
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006212
CONNECTICUT STATE PHARMACIST LIC
CT
Enumeration date
03/15/2011
Last updated
03/15/2011
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