Individual
GRANT E SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
175 E 442 N, LOGAN, UT 84321
(435) 753-6570
(435) 750-0931
Mailing address
9 S 490 E, SMITHFIELD, UT 84335-1221
(435) 764-1559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147190
UT
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
About Stedi
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