Individual
GLEN ALDEN HARLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4727 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84009-1708
(385) 297-9740
(385) 297-9741
Mailing address
4727 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84009-1708
(385) 297-9740
(385) 297-9741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
276895-1701
UT
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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