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Individual

ROBERT W WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 CEDAR SPRINGS RD, SPARTANBURG, SC 29302
(864) 381-6366
(864) 381-6367
Mailing address
203 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4639
(864) 381-6366
(864) 381-6367

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5949
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5949
SC LIC PHARMACIST
SC
Enumeration date
01/24/2014
Last updated
08/19/2015
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