Individual
STEPHEN SIMISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7671 S 3800 W, WEST JORDAN, UT 84084-4316
(801) 282-4766
(801) 282-4772
Mailing address
7671 S 3800 W, WEST JORDAN, UT 84084-4316
(801) 282-4766
(801) 282-4772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6545639-1701
UT
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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