Organization
PREMIER MEDICAL DISTRIBUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID WOOD (MANAGING MEMBER)
(801) 285-0181
Entity
Organization
Contact information
Practice address
12393 S GATEWAY PARK PL, SUITE 75, DRAPER, UT 84020-2309
(888) 932-0019
(801) 542-0611
Mailing address
12393 S GATEWAY PARK PL, SUITE 75, DRAPER, UT 84020-2309
(888) 932-0019
(801) 542-0611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
81002311710
UT
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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