Individual
RUSSELL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3571 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-7173
(801) 523-5297
Mailing address
3571 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-7173
(801) 523-5297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5902758-1701
UT
Other
Enumeration date
09/21/2011
Last updated
10/20/2016
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