BRADFORD LANE LAVANWAY

ROSEBURG, OR
NPI1245372663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0010599)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
Dr. BRADFORD LANE LAVANWAY Pharm.D.
2700 STEWART PARKWAY
ROSEBURG, OR 97470
Phone number: 214-682-9822
Mailing Address
Dr. BRADFORD LANE LAVANWAY Pharm.D.
PO BOX 1331
ROSEBURG, OR 97470
Phone number:
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