Individual
PHUNG MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1837 WEST 4700 SOUTH, TAYLORSVILLE, UT 84118
(801) 967-0682
Mailing address
1837 WEST 4700 SOUTH, TAYLORSVILLE, UT 84118
(801) 967-0682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5809602-1701
UT
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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