Individual
CODY TONGA BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11525 S PARKWAY PLAZA DR, SOUTH JORDAN, UT 84095-5605
(801) 316-2512
Mailing address
4173 W 1630 N, LEHI, UT 84043-6176
(801) 636-6047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10350893-1701
UT
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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