DR. Susan Lynn Way

NPI #1275134652 in Wood River, Illinois

Provider Information

NPI Number: 1275134652
Entity Type: Individual
Name: DR. Susan Lynn Way
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 610 WESLEY DR
City: Wood River
State: Illinois
ZIP Code: 62095-1894
Phone: (618) 259-0293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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