Individual
BRYAN CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1634 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-4562
(801) 254-0068
(801) 253-2561
Mailing address
11548 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 440-3522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
150182-1701
UT
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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