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Individual

ANTHONY MATTHEW MAZZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2353 N MAIN ST, SUNSET, UT 84015-2454
(801) 825-2262
(801) 773-3989
Mailing address
1566 34TH ST, OGDEN, UT 84403-1366
(801) 627-8573

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
3916
WY
183500000X
Pharmacist
Primary
5039647-1701
UT

Other

Enumeration date
10/22/2016
Last updated
10/22/2016
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