Individual
BRIAN DOUGLAS WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2715 PARADE ST, ERIE, PA 16504-2811
(814) 454-5148
(814) 456-8086
Mailing address
5915 SOUTHLAND DR, ERIE, PA 16509-7821
(814) 866-5301
(814) 866-5301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03324204
OH
183500000X
Pharmacist
Primary
RP033785L
PA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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