Individual
TRENT DUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 W 400 S, SPRINGVILLE, UT 84663-3061
(385) 685-7005
(385) 685-7015
Mailing address
1117 W 400 S, SPRINGVILLE, UT 84663-3061
(385) 685-7005
(385) 685-7015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5047584-1701
UT
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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