Individual
BREANNA F UPSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
724 S 1600 W, MAPLETON, UT 84664-4347
(801) 515-6048
Mailing address
724 S 1600 W, MAPLETON, UT 84664-4347
(801) 515-6048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7792652-1701
UT
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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