Individual
DR. ROGER E TEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
909 E 2100 S, SALT LAKE CITY, UT 84106-2321
(801) 463-4870
Mailing address
PO BOX 980730, PARK CITY, UT 84098-0730
(435) 785-8365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13655
CO
183500000X
Pharmacist
18573
TX
183500000X
Pharmacist
Primary
327425-1701
UT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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