Individual
DR. JEREMY LOWELL HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1315 N STATE ST, PROVO, UT 84604-2416
(801) 616-5223
(801) 616-5252
Mailing address
881 RED HEN RD, SARATOGA SPRINGS, UT 84045-3990
(801) 766-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6609157
UT
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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