Individual
DOUGLAS ERIC MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10305 S 1300 E, SANDY, UT 84094-4681
(801) 572-1398
(801) 572-8806
Mailing address
2342 E BEAR HILLS DR, DRAPER, UT 84020-9672
(801) 571-6269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
150813-1701
UT
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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