Individual
JAYK MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 HARRISON BLVD, OGDEN, UT 84403-3102
(801) 621-2610
(801) 519-3164
Mailing address
4240 HARRISON BLVD, OGDEN, UT 84403-3102
(801) 621-2610
(801) 519-3164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8741061-1701
UT
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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