Individual
TRACY JOHN GYGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1315 N STATE ST, PROVO, UT 84604-2416
(801) 616-5223
Mailing address
1315 N STATE ST, PROVO, UT 84604-2416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6802244-8911
UT
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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