Individual
MACHEALA JACQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84095-5994
(801) 699-3683
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84095-5994
(801) 699-3683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5836822-1701
UT
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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