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1275000424
KEN WIELGOPOLSKI
BERWICK, PA
NPI
1275000424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP040286L)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
KEN WIELGOPOLSKI RPh
1015 N VINE ST
BERWICK, PA 18603-2025
Phone number: 570-802-0160
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Mailing Address
KEN WIELGOPOLSKI RPh
1862 STEEL ST
BERWICK, PA 18603-2548
Phone number: 570-204-0464
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