Individual
STEVE PAUL BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 N 400 E, NORTH OGDEN, UT 84414-7233
(801) 917-1492
Mailing address
3160 N 875 W, PLEASANT VIEW, UT 84414-7581
(801) 920-8371
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3092282-1701
UT
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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