Individual
MR. GLENN THOMAS CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1152 W 2240 S STE E, WEST VALLEY CITY, UT 84119-7245
(801) 485-3344
(801) 485-1982
Mailing address
14291 STONE FLY DR, BLUFFDALE, UT 84065-5605
(801) 446-2122
(801) 485-1982
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
3082638-1701
UT
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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