MR. Jerry A Shields, R.PH.,M.B.A

NPI #1093846859 in Lehi, Utah

Provider Information

NPI Number: 1093846859
Entity Type: Individual
Name: MR. Jerry A Shields, R.PH.,M.B.A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.,M.B.A
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1584 W 900 N
City: Lehi
State: Utah
ZIP Code: 84043-5801
Phone: (801) 580-4509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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