Individual
MICHAEL C WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 678-4924
Mailing address
519 W 1100 N, MAPLETON, UT 84664-3596
(801) 678-4924
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
4937737
UT
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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