Individual
BRIAN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1324 N STATE ST, PROVO, UT 84604-2419
(801) 374-2015
(801) 374-9954
Mailing address
1324 N STATE ST, PROVO, UT 84604-2419
(801) 374-2015
(801) 374-9954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5073213-1701
UT
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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