Individual
ALYSON MARIE CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(317) 690-8854
Mailing address
6899 S SUZANNE DR, MIDVALE, UT 84047-4760
(317) 690-8854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2014023125
MO
183500000X
Pharmacist
Primary
9454118-1701
UT
183500000X
Pharmacist
9454118-8911
UT
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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