Individual
JAY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2228 W 1700 S, SYRACUSE, UT 84075-7126
(801) 643-8208
Mailing address
62 N 2950 W, WEST POINT, UT 84015-7474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5324056-1701
UT
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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