Individual
COREY GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 S 2300 E, SALT LAKE CITY, UT 84108-3220
(801) 487-1018
Mailing address
1850 W 2100 S, SALT LAKE CITY, UT 84119-1304
(801) 487-1018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
152896-1701
UT
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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