Individual
MICHAEL MCQUIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 N MAIN ST, MANTI, UT 84642-1254
(435) 835-7250
Mailing address
46 N MAIN ST, MANTI, UT 84642-1254
(435) 835-7250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2774246
UT
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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