Individual
JORDAN BILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 E SKYLINE DR, SOUTH OGDEN, UT 84405-5202
(801) 479-6893
Mailing address
1710 E SKYLINE DR, SOUTH OGDEN, UT 84405-5202
(801) 479-6893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7432896
UT
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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