Individual
HYRUM OWEN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514
(307) 332-7300
Mailing address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
(307) 332-0304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19317
NV
Other
Enumeration date
10/07/2016
Last updated
11/17/2021
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