Individual
DR. WILLIAM BENJAMIN CORDOVA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1460 E 1350 N, HEBER CITY, UT 84032-3410
(435) 671-8870
Mailing address
1460 E 1350 N, HEBER CITY, UT 84032-3410
(435) 671-8870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5797197
UT
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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