Individual
DAVID CLARK TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4690 HOLLADAY BLVD, HOLLADAY, UT 84117-5243
(801) 278-0411
Mailing address
4690 HOLLADAY BLVD, HOLLADAY, UT 84117-5243
(801) 278-0411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
139130-1701
UT
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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