Individual
DANIEL BREISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9829 S 1300 E, SUUITE 100, SANDY, UT 84094-4000
(801) 571-0201
(801) 571-6050
Mailing address
9829 S 1300 E, SUUITE 100, SANDY, UT 84094-4000
(801) 571-0201
(801) 571-6050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7882358-1701
UT
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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