Individual
ERIC WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 375-6165
Mailing address
621 S MAIN ST, DU BOIS, PA 15801-1413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441124
PA
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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