Individual
BRANDEN R PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B. PHARMACY
Contact information
Practice address
391 W SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3353
(435) 652-3868
Mailing address
391 W SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3353
(435) 652-3868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
317963-1701
UT
Other
Enumeration date
10/21/2011
Last updated
06/26/2012
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