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Individual

WILLIAM LANCE ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1202 W 12600 W, RIVERTON, UT 84065
(801) 999-2795
(801) 999-2796
Mailing address
10809 S 2420 W, SOUTH JORDAN, UT 84095-2633
(801) 999-2795

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
132813-1701
UT

Other

Enumeration date
11/02/2020
Last updated
11/12/2020
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