Individual
MR. JEFF MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
550 E 1400 N, SUITE JB, LOGAN, UT 84341-2406
(435) 792-3407
(435) 792-6006
Mailing address
11080 N 5600 W, TREMONTON, UT 84337-8725
(435) 257-4725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
131393-1701
UT
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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