Individual
DR. JUSTIN R ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
648 E 800 S, OREM, UT 84097-6528
(801) 851-5002
Mailing address
648 E 800 S, OREM, UT 84097-6528
(801) 851-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6198705-1701
UT
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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