Individual
GRANT S MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
835 N 3050 E, ST GEORGE, UT 84790-9041
(435) 256-0002
(435) 256-0009
Mailing address
2914 E 1880 S, ST GEORGE, UT 84790-5147
(775) 426-9385
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
150832-1701
UT
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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