Individual
JACOB WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 CLAIRTON BLVD, BRENTWOOD, PA 15227-2720
(412) 440-5888
Mailing address
3520 CLAIRTON BLVD, BRENTWOOD, PA 15227-2720
(412) 440-5888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452454
PA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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