Individual
KELLI FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
SMITH'S FOOD & DRUG, 1075 E MAIN ST, PRICE, UT 84501
(435) 637-0804
(435) 637-4628
Mailing address
2309 N HILLSIDE DR, WELLINGTON, UT 84542-2003
(435) 650-9945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4863307-1701
UT
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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