Individual
REAGAN BYANSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4698 S BRON BRECK ST, HOLLADAY, UT 84117-6402
(385) 230-8387
Mailing address
4698 S BRON BRECK ST, HOLLADAY, UT 84117-6402
(385) 230-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11433569-1701
UT
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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