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MR. DARRYL WAYNE ZACHARIA WISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
790 PARK PL, LONG BEACH, NY 11561-2111
(516) 620-2862
Mailing address
11450 203RD ST, SAINT ALBANS, NY 11412-2815
(845) 309-3657

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
135941
NY
183500000X
Pharmacist
Primary
042772
NY

Other

Enumeration date
03/25/2010
Last updated
03/25/2010
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