Jesse T Li

NPI #1114401130 in Logan, Utah

Provider Information

NPI Number: 1114401130
Entity Type: Individual
Name: Jesse T Li
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 17, 2018
Last Updated: Sep 17, 2018

Practice Location

Address: 145 W CACHE VALLEY BLVD
City: Logan
State: Utah
ZIP Code: 84341-8473
Phone: (435) 787-0495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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