Individual
MR. JAMES MATERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 561-4695
Mailing address
PO BOX 1016, DRAPER, UT 84020-1016
(801) 913-3980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151177-1701
UT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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