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Individual

DYLAN WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
7800 S LOVERS LANE RD, FRANKLIN, WI 53132-2290
(414) 448-4001
Mailing address
7800 S LOVERS LANE RD, FRANKLIN, WI 53132-2290

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19187-40
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19187-40
WISCONSIN PHARMACIST LICENSE
WI
Enumeration date
12/16/2017
Last updated
12/16/2017
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