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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WILSON PHARMD. (PHARMACIST)
(801) 521-4140
Entity
Organization
Contact information
Practice address
220 S 700 E, SALT LAKE CITY, UT 84102-2106
(801) 521-4140
Mailing address
1865 E LOGAN AVE, SALT LAKE CITY, UT 84108-2631
(301) 707-6690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7960198-1701
UT
183500000X
Pharmacist
RP0007741
WV
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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