Individual
RYAN ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 E MAIN ST, SANTAQUIN, UT 84655-7078
(801) 754-1141
Mailing address
390 E MAIN ST, SANTAQUIN, UT 84655-7078
(801) 754-1141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8681626
UT
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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