Individual
STEVE NEIL BRECKENRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3040
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3769351701
UT
Other
Enumeration date
08/02/2005
Last updated
07/26/2007
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