Individual
JORDAN BRADLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MS
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 213-1337
Mailing address
8490 S TREASURE MOUNTAIN DR, SANDY, UT 84093-1169
(509) 680-7003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8088093-1701
UT
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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