Individual
SIERRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W 1180 N STE 12, TOOELE, UT 84074-1483
(435) 249-0767
Mailing address
134 W 1180 N STE 12, TOOELE, UT 84074-1483
(435) 249-0767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7339325-1701
UT
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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