Wade Oliver Moulton, PHARM D

NPI #1205479748 in Vernal, Utah

Provider Information

NPI Number: 1205479748
Entity Type: Individual
Name: Wade Oliver Moulton, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Oct 28, 2019
Last Updated: Oct 28, 2019

Practice Location

Address: 1080 W HWY 40
City: Vernal
State: Utah
ZIP Code: 84078
Phone: (435) 789-7235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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