Individual
GENEVIEVE WRIGHT BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W 9000 S, WEST JORDAN, UT 84088-6728
(801) 562-4993
Mailing address
1820 W 9000 S, WEST JORDAN, UT 84088-6728
(801) 562-4993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
316433-1701
UT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
316433-1701
UT
Other
Enumeration date
09/28/2019
Last updated
01/13/2020
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