Individual
MICAH HEATHCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4874 W 6200 S, KEARNS, UT 84118-6701
(801) 963-7200
Mailing address
1754 W SHADOW FALLS LN, RIVERTON, UT 84065-1686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10505990-1701
UT
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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