Individual
JEAROLD W YACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11100 AUTO MALL DR, SANDY, UT 84070-4171
(801) 790-0002
(801) 790-0009
Mailing address
11100 AUTO MALL DR, SANDY, UT 84070-4171
(801) 790-0002
(801) 790-0009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1437271701
UT
Other
Enumeration date
04/26/2007
Last updated
07/23/2007
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