Individual
GILLIAN STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 N 3400 W, HURRICANE, UT 84737-3031
(435) 635-2014
Mailing address
2746 TONAQUINT DR, ST GEORGE, UT 84790-7671
(435) 215-6745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
273247-1701
UT
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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