Individual
MICHEAL THEO HOWARD LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5800 S REDWOOD RD, TAYLORSVILLE, UT 84123-5327
(801) 565-0017
(801) 252-4949
Mailing address
3016 W 8525 S, WEST JORDAN, UT 84088-9642
(425) 652-7899
(208) 723-3927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5824628-1721
UT
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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