Individual
KIRTLAND J. WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1859 S 580 W, WOODS CROSS, UT 84087-1644
(801) 866-4659
Mailing address
1859 S 580 W, WOODS CROSS, UT 84087-1644
(801) 866-4659
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
144529-1701
UT
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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