Individual
TREVOR JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1676 E 1300 S, SALT LAKE CITY, UT 84105-1704
(801) 582-1999
Mailing address
1676 E 1300 S, SALT LAKE CITY, UT 84105-1704
(801) 582-1999
(801) 582-1270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5029548-1701
UT
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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