Individual
LACEY BRINGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1315 N STATE ST, PROVO, UT 84604-2416
(801) 616-5223
(801) 616-5252
Mailing address
1315 N STATE ST, PROVO, UT 84604-2416
(801) 616-5223
(801) 616-5252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7771645-1701
UT
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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