Individual
MR. JUDSON FLETCHER HYATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIIST
Contact information
Practice address
2900 E BARNETT RD, MEDFORD, OR 97504-8380
(541) 789-5969
Mailing address
205 FLORENCE AVE, MEDFORD, OR 97504-7541
(541) 779-1781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5124
OR
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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