Individual
LOUIE T WOLFGRAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1313 S UNIVERSITY AVE, PROVO, UT 84601-5943
(801) 373-5665
(801) 373-5986
Mailing address
829 E 700 N, MAPLETON, UT 84664-3765
(801) 404-3982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
371864-1701
UT
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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