Individual
JOHN THOMAS WESOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2150 MAIN ST, BOONVILLE, MO 65233-1941
(660) 882-6552
(660) 882-9304
Mailing address
2150 MAIN ST, BOONVILLE, MO 65233-1941
(660) 882-6552
(660) 882-9304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041143
MO
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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