Individual
EDWARD M GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5326 W 11000 N, HIGHLAND, UT 84003-9544
(801) 763-9786
Mailing address
1048 W 3425 N, LEHI, UT 84043-8031
(801) 859-4776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7772843
UT
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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