| Mr Stephanus Johannes Van Wyk, | |
|
3773 Peters Mountain Rd, Halifax, PA 17032-8605 | |
| (717) 896-9084 | |
| Not Available |
| Full Name | Mr Stephanus Johannes Van Wyk |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 3773 Peters Mountain Rd, Halifax, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639323249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPI001089 (Pennsylvania) | Secondary |
| 183500000X | Pharmacist | RP441444 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephanus Johannes Van Wyk, 502 Thomas Rd, Camp Hill, PA 17011-1260 Ph: (717) 763-1133 | Mr Stephanus Johannes Van Wyk, 3773 Peters Mountain Rd, Halifax, PA 17032-8605 Ph: (717) 896-9084 |
Kristen Kile, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3773 Peters Mountain Rd, Halifax, PA 17032 Phone: 717-896-9084 | |
Shena Renee Bruno, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3773 Peters Mountain Rd, Halifax, PA 17032 Phone: 717-896-9084 |