Individual
DR. ETHAN DREW OGOMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11525 S PARKWAY PLAZA DR, SOUTH JORDAN, UT 84095-5605
(801) 316-2512
Mailing address
10448 S JORDAN GTWY UNIT 4438, SOUTH JORDAN, UT 84095-5427
(818) 648-9976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10493753-1701
UT
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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