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Individual

MR. LYNN I WAWRINOFSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
597 FREE LAND AVE, MIDVALE, UT 84047-4644
(801) 566-0134
Mailing address
597 FREE LAND AVE, MIDVALE, UT 84047-4644
(801) 566-0134

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1409758911
UT

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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