Individual
JAMES WILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-5148
Mailing address
1213 CEDAR HEIGHTS DR, LOGAN, UT 84341-3009
(435) 760-6090
(435) 753-7636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
260173-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260173-1701
STATE PHARMACIST LICENSE
UT
Enumeration date
05/01/2007
Last updated
07/08/2007
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