Individual
EMMET COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12623 S REDWOOD RD, RIVERTON, UT 84065-6606
(801) 254-4916
Mailing address
PO BOX 1077, DRAPER, UT 84020-1077
(801) 572-9275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58504281701
UT
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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