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Individual

DR. BRENDON JOHN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
5353 S 960 E STE 103, SALT LAKE CITY, UT 84117-3507
(801) 288-4013
Mailing address
11519 OAKMOND RD, SOUTH JORDAN, UT 84095-5039

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
380613-1701
UT

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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