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Individual

MR. SIDNEY EARL LYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
189 OAKVIEW ROAD, HAZEL GREEN, AL 35750
(000) 828-3792
(000) 000-0000
Mailing address
189 OAKVIEW ROAD, HAZEL GREEN, AL 35750
(000) 828-3792
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7018
AL

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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