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Individual

MICHAEL J WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
50 EAST 200 SOUTH, DUCHESNE, UT 84021
(435) 738-5403
(435) 735-5405
Mailing address
50 EAST 200 SOUTH, DUCHESNE, UT 84021-0003
(801) 574-8957
(435) 738-5405

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
294596-1701
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063651669
DVMC PHARMACY NPI
05
870276435
UT
Enumeration date
02/12/2007
Last updated
12/14/2018
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