Individual
ALISSA EMILY WENGENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6156 SCHOHARIE TPKE, DELANSON, NY 12053-2804
(518) 669-9643
Mailing address
6156 SCHOHARIE TPKE, DELANSON, NY 12053-2804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062386
NY
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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