Individual
JACK OWEN COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0002
(801) 582-1565
Mailing address
500 FOOTHILL DR., SALT LAKE CITY, UT 84148-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S0262982
AZ
Other
Enumeration date
04/08/2024
Last updated
08/14/2025
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