Individual
WILSON D. PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1269 E 2100 S, SALT LAKE CITY, UT 84106-2824
(801) 486-0695
Mailing address
1269 E 2100 S, SALT LAKE CITY, UT 84106-2824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9057823-1701
UT
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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