Individual
REBECCA HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W 1180 N STE 12, TOOELE, UT 84074-1483
(435) 249-0767
Mailing address
134 W 1180 N STE 12, TOOELE, UT 84074-1483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
568100-1701
UT
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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