Individual
BRADY TEUSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 W 2150 N, HARRISVILLE, UT 84414-7061
(801) 897-9847
Mailing address
128 W 2150 N, HARRISVILLE, UT 84414-7061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6729889-1701
UT
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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