Individual
JASON ROBERT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
515 W 500 S, BOUNTIFUL, UT 84010-8101
(801) 294-9107
Mailing address
2508 SOLAR DR, HOLLADAY, UT 84124-1941
(801) 870-8073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6158191-1701
UT
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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