Individual
MR. LUCAS N HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 E 3900 S, SALT LAKE CITY, UT 84107-1677
(801) 350-1674
Mailing address
339 E 3900 S, SALT LAKE CITY, UT 84107-1677
(801) 350-1674
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7458362-1717
UT
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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