EDWARD LEWIS WYANT

MEDFORD, OR
NPI1003897612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  9432)
Enumeration Date2005-11-10
Last Update Date2007-07-08
Business Address
Mr. EDWARD LEWIS WYANT R.Ph
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-789-4251
Mailing Address
Mr. EDWARD LEWIS WYANT R.Ph
8801 JOHN DAY DR
GOLD HILL, OR 97525-5525
Phone number: 541-855-7512
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