Individual
ALAN KEITH BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5761 S SURREYRUN RD, MURRAY, UT 84107-6610
(801) 262-1867
Mailing address
5761 S SURREYRUN RD, MURRAY, UT 84107-6610
(801) 262-1867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
145048-1701
UT
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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