Individual
KYLE NORTHRUP CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2576 S HIGHWAY 89, WOODS CROSS, UT 84010-7738
(801) 335-3610
(801) 335-3616
Mailing address
2576 S HIGHWAY 89, WOODS CROSS, UT 84010-7738
(801) 335-3610
(801) 335-3616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7120852-1701
UT
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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