Individual
CHAD JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4040 W 5415 S, SALT LAKE CITY, UT 84118-4308
(801) 982-1912
(801) 982-1932
Mailing address
4040 W 5415 S, SALT LAKE CITY, UT 84118-4308
(801) 982-1912
(801) 982-1932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69614121701
UT
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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