Individual
DR. TRENT STILSON WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5024 W FROGS LEAP DR, APT 1305, SOUTH JORDAN, UT 84009-4733
(801) 908-6100
Mailing address
5024 W FROGS LEAP DR, APT 1305, SOUTH JORDAN, UT 84009-4733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9201844-1701
UT
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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