Individual
JESSE LEE MAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1080 S HWY 118, RICHFIELD, UT 84701
(435) 896-8489
Mailing address
PO BOX 332, ANNABELLA, UT 84711-0332
(435) 760-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5887548-1701
UT
183500000X
Pharmacist
5887548-8911
UT
Other
Enumeration date
10/15/2010
Last updated
03/25/2013
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