Individual
ROBERT WILLIAM HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15944
IA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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