Individual
CRYSTAL GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N MAIN ST, LOGAN, UT 84341-1922
(435) 752-9641
Mailing address
1750 N MAIN ST, LOGAN, UT 84341-1922
(435) 752-9641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
132625-1701
UT
Other
Enumeration date
10/16/2006
Last updated
07/06/2010
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