Individual
JEFFREY SWALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1110 S 300 W, SLC, UT 84101-3053
(801) 401-9563
Mailing address
1110 S 300 W, SLC, UT 84101-3053
(801) 401-9563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5990508-1701
UT
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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