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Ivan Wesley Wisco
Pharmacist in Charlottesville, Virginia
NPI 1164167318

Ivan Wesley Wisco is a Pharmacist based in Charlottesville, VA. Ivan Wesley Wisco practices in Charlottesville, VA. The NPI Number for Ivan Wesley Wisco is 1164167318 and holds a License No. 0202220011 (Virginia).

The current practice location address for Ivan Wesley Wisco is 1170 Emmet St N, Charlottesville, VA and can be reached out via phone at 434-293-9151.

Location: 1170 Emmet St N, Charlottesville, VA, 22903-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164167318
Provider Name
Ivan Wesley Wisco
Credential
Provider Entity Type
Individual
Gender
Male
Address
1170 Emmet St N, Charlottesville, VA, 22903-4836
Phone Number
434-293-9151
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1170 Emmet St N
City
Charlottesville
State
Virginia
Zip
22903-4836
Phone Number
434-293-9151
Fax Number
person
Provider Business Mailing Address Details
Address
1170 Emmet St N
City
Charlottesville
State
Virginia
Zip
22903-4836
Phone Number
434-293-9151
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0202220011 (Virginia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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