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Individual

IVY WYSZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
200 KENT LNDG, STEVENSVILLE, MD 21666-2582
(410) 643-9600
Mailing address
1014 TASKER LN, ARNOLD, MD 21012-3008
(254) 289-8888

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202207535
VA
183500000X
Pharmacist
Primary
14828
CO
183500000X
Pharmacist
23919
MD
183500000X
Pharmacist
41126
TX
183500000X
Pharmacist
RP042416L
PA

Other

Enumeration date
02/23/2016
Last updated
02/23/2016
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