Nyssa Stant

NPI #1063061513 in Medford, Oregon

Provider Information

NPI Number: 1063061513
Entity Type: Individual
Name: Nyssa Stant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 7, 2019
Last Updated: Sep 7, 2019

Practice Location

Address: 2825 E BARNETT RD
City: Medford
State: Oregon
ZIP Code: 97504-8332
Phone: (541) 789-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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