Individual
JOHN WASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 COCHRANE DR, WOODBURY, MN 55125-2967
(513) 417-6681
Mailing address
2535 COCHRANE DR, WOODBURY, MN 55125-2967
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
726027
MN
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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