Individual
JACOB WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
381 MARKET SQUARE DR, MAYSVILLE, KY 41056-8721
(606) 956-3160
Mailing address
381 MARKET SQUARE DR, MAYSVILLE, KY 41056-8721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022770
KY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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