Individual
MATTHEW PERCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1356 E HIGHWAY 193, LAYTON, UT 84040-8533
(801) 771-2994
Mailing address
2088 W ORCHARD HARVEST DR, KAYSVILLE, UT 84037-5004
(801) 721-1984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
355048-1701
UT
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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