Individual
DANIEL ADAM WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
8035 VAUGHN ROAD, MONTGOMERY, AL 36116
(334) 777-5880
(334) 777-5879
Mailing address
8035 VAUGHN ROAD, MONTGOMERY, AL 36116
(334) 777-5880
(334) 777-5879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19144
AL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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