Individual
MR. MARK R BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
37 N HARRISVILLE RD, OGDEN, UT 84404-3975
(801) 621-2532
Mailing address
6240 S 2050 E, OGDEN, UT 84403-5233
(801) 479-1779
(801) 479-1835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86-149110-1701
UT
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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