Individual
NIEL RYAN HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11278 S JORDAN GTWY, SOUTH JORDAN, UT 84095-4111
(801) 545-9815
Mailing address
14658 S WINDY RIDGE CIR, HERRIMAN, UT 84096-4701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6098123-1701
UT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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