IVAN WESLEY WISCO

CHARLOTTESVILLE, VA
NPI1164167318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202220011)
Enumeration Date2022-05-02
Last Update Date2022-05-02
Business Address
IVAN WESLEY WISCO
1170 EMMET ST N
CHARLOTTESVILLE, VA 22903-4836
Phone number: 434-293-9151
Mailing Address
IVAN WESLEY WISCO
1170 EMMET ST N
CHARLOTTESVILLE, VA 22903-4836
Phone number:
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