Individual
JOSEPH F BURUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4815 S 3500 W, ROY, UT 84067-9439
(801) 985-7011
Mailing address
4815 S 3500 W, ROY, UT 84067-9439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
323574-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639649916
—
UT
Enumeration date
02/04/2019
Last updated
02/04/2019
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