Individual
BRIAN TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
774 S STATE ST, OREM, UT 84058-6308
(801) 426-6650
Mailing address
11976 S WOODRIDGE RD, SANDY, UT 84094-5723
(801) 856-7155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5668530-1701
UT
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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