Individual
MICHELLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 WALL AVE, OGDEN, UT 84401-0313
(801) 917-2969
Mailing address
3112 N 1375 W, PLEASANT VIEW, UT 84414-3306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53522971701
UT
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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