Individual
MR. CHAD ALAN REXROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2330
Mailing address
1624 W FORT RD, PARK CITY, UT 84098-6586
(435) 615-7281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12363
TN
183500000X
Pharmacist
5393
WV
183500000X
Pharmacist
Primary
5705507-1701
UT
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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