Individual
DAVIS SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9950
(801) 213-9965
Mailing address
5071 EAGLE ROCK WAY, WEST VALLEY CITY, UT 84120-1423
(801) 213-9950
(801) 213-9965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5017555-1701
UT
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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