Individual
MICHAEL ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD,RPH
Contact information
Practice address
745 N DIXIE DOWNS DR, ST GEORGE, UT 84770
(435) 688-7537
Mailing address
745 N DIXIE DOWNS DRIVE, ST GEORGE, UT 84770
(435) 688-7537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7725654-1701
UT
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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