Individual
BRENDA HARDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3795 KIESEL AVE, OGDEN, UT 84405-1601
(801) 394-6414
Mailing address
2792 W 5775 S, ROY, UT 84067-1160
(801) 825-4275
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3382921717
UT
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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