Individual
DR. TYLER JOHN GERRITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9950
(801) 213-9965
Mailing address
751 W 2400 N, LEHI, UT 84043-3307
(801) 213-9950
(801) 213-9965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5123672-1701
UT
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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