Individual
NICOLE URESK GLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6123
Mailing address
292 PARK PL, ROOSEVELT, UT 84066-2669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6447858-1701
UT
183500000X
Pharmacist
6447858-8911
UT
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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