Individual
BRENT HIRAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3590 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8916
(801) 601-3119
Mailing address
3590 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8916
(801) 601-3119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8064820-1701
UT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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