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Individual

TIMOTHY TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3863 W 9000 S, WEST JORDAN, UT 84088-8856
(801) 280-3235
Mailing address
13991 S 2200 W, BLUFFDALE, UT 84065-5347

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6300134-1701
UT

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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