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Individual

MICHAEL ELLIOT CONGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
790 E MAIN ST, HYRUM, UT 84319-1408
(435) 245-6422
(435) 245-5306
Mailing address
790 E MAIN ST, HYRUM, UT 84319-1408
(435) 245-6422
(435) 245-5306

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5573248-1703
UT

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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