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Individual

BROCK CRYSTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1017 MEDICAL DR, BRIGHAM CITY, UT 84302-3049
(435) 723-5211
(435) 723-6379
Mailing address
1017 MEDICAL DR, BRIGHAM CITY, UT 84302-3049
(435) 723-5211
(435) 723-6379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5892974-1701
UT

Other

Enumeration date
10/25/2021
Last updated
10/26/2021
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