Wasilak, John Stephan

Wasilak, John Stephan is an sole proprietor health care provider with primary practice located at 42 Winding Path Dr , Ponte Vedra FL 32081-0517. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wasilak, John Stephan can be contacted via phone (904) 460-2123.

Contact Information

Primary practice address
42 Winding Path Dr Ponte Vedra FL 32081-0517
Phone: (904) 460-2123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS26097 Florida
Pharmacy Service Providers / Pharmacist 183500000X 26060974A Indiana

Profile Details

NPI number 1154651651
LBN Legal business name Wasilak, John Stephan
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2010
Last updated Jan 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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