Individual
MR. WESLEY D JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECH COORDI
Contact information
Practice address
116 SPRINGFIELD RD, BRENTWOOD, NY 11717-4734
(347) 612-7156
Mailing address
116 SPRINGFIELD RD, BRENTWOOD, NY 11717-4734
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3476127156
—
NY
Enumeration date
05/25/2020
Last updated
05/25/2020
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