Individual
RICARDO FORTMULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10578 S BEACH COMBER WAY, SOUTH JORDAN, UT 84009-6132
(801) 201-2907
Mailing address
10578 S BEACH COMBER WAY, SOUTH JORDAN, UT 84009-6132
(801) 201-2907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6469540-1701
UT
Other
Enumeration date
07/07/2020
Last updated
10/26/2022
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