Individual
LANDON MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6123
Mailing address
1187 W 100 S, ROOSEVELT, UT 84066-3905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5882134-1701
UT
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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