Individual
MR. BEN C RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
165 4TH AVE, SALT LAKE CITY, UT 84103-4766
(406) 459-0183
Mailing address
165 4TH AVE, SALT LAKE CITY, UT 84103-4766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6052280-8911
UT
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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