Individual
DR. BENJAMIN DEAN JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1702 S 1100 E, SALT LAKE CITY, UT 84105-3424
(801) 484-4393
(801) 484-8677
Mailing address
1702 S 1100 E, SALT LAKE CITY, UT 84105-3424
(801) 484-4393
(801) 484-8677
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
7050817-1701
UT
1835P2201X
Ambulatory Care Pharmacist
Primary
7050817-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7050817-1701
STATE PHARMACIST LICENSE
UT
Enumeration date
09/03/2020
Last updated
04/23/2021
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