Individual
ANTHONY GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 N STATE ST, PROVO, UT 84604-2419
(801) 374-2015
Mailing address
289 E 200 N, LEHI, UT 84043-1905
(435) 406-1191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63747881701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACIST
UT
Enumeration date
06/07/2014
Last updated
06/07/2014
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