Individual
DALE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1100 W 2700 N, NORTH OGDEN, UT 84404-4791
(801) 475-3695
Mailing address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
290502-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290502-1701
STATE
UT
Enumeration date
08/18/2011
Last updated
08/18/2011
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