Individual
RAELYN NEIL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 W STATE ST, HURRICANE, UT 84737-3539
(435) 635-1071
Mailing address
1235 W STATE ST, HURRICANE, UT 84737-3539
(435) 635-1071
(435) 635-4851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7205984
UT
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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