Individual
MR. A JOHN WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4840 SHERWOOD DR., SYRACUSE, NY 13215
(315) 487-1153
Mailing address
4840 SHERWOOD DR, SYRACUSE, NY 13215-1057
(315) 487-1153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26784
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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