Individual
GABRIELLE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
188 N MAIN ST, TOOELE, UT 84074-2140
(435) 228-1003
Mailing address
188 N MAIN ST, TOOELE, UT 84074-2140
(435) 228-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9076263-1701
UT
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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