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Individual

RICHARD GRANT BALLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1356 E HIGHWAY 193, LAYTON, UT 84040-8533
(801) 771-2994
(801) 771-2996
Mailing address
1356 E HIGHWAY 193, LAYTON, UT 84040-8533
(801) 771-2994
(801) 771-2996

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
146100-1701
UT

Other

Enumeration date
02/13/2021
Last updated
02/13/2021
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