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Individual

BRIAN COOPER HUSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4275 HARRISON BLVD, OGDEN, UT 84403-3101
(801) 479-0700
Mailing address
3005 N 550 W, PLEASANT VIEW, UT 84414-2284
(435) 881-6320

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5629248-1701
UT

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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