Individual
BRYAN K WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 PIEDMONT PL, DANVILLE, VA 24541-4176
(434) 797-3479
(434) 797-3479
Mailing address
215 PIEDMONT PL, DANVILLE, VA 24541-4176
(434) 797-3479
(434) 797-3479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202211761
VA PHARMACY LICENSE
VA
Enumeration date
03/24/2021
Last updated
03/24/2021
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