Individual
MS. MYRLE WILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
500 E 1400 N, LOGAN, UT 84341-2465
(435) 716-5158
(435) 753-7636
Mailing address
29 SHADOW MOUNTAIN DR, LOGAN, UT 84321-6757
(435) 787-8474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
142251-1701
UT
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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