Individual
JEROME WAYNE WOHLEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1738 KUDU CT, DRAPER, UT 84020-9375
(801) 553-2635
Mailing address
1738 KUDU CT, DRAPER, UT 84020-9375
(801) 553-2635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6038323-1701
UT
1835P1200X
Pharmacotherapy Pharmacist
6038323-1701
UT
1835P1200X
Pharmacotherapy Pharmacist
7648
AZ
1835P1200X
Pharmacotherapy Pharmacist
9181
NE
Other
Enumeration date
08/15/2006
Last updated
09/11/2025
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