Individual
DEONN C TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
750 N MAIN ST, LOGAN, UT 84321
(435) 753-1643
Mailing address
750 N MAIN ST, LOGAN, UT 84321-3227
(435) 753-1643
(435) 750-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153510-1701
UT
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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