Individual
DR. JOSEPH T WIEZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1295 W VICTORY WAY, CRAIG, CO 81625-2943
(970) 824-9496
Mailing address
1295 W VICTORY WAY, CRAIG, CO 81625-2943
(970) 824-9496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19255
CO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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