Grant E Severe, RPH

NPI #1265074157 in Logan, Utah

Provider Information

NPI Number: 1265074157
Entity Type: Individual
Name: Grant E Severe, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 11, 2019
Last Updated: Oct 11, 2019

Practice Location

Address: 175 E 442 N
City: Logan
State: Utah
ZIP Code: 84321
Phone: (435) 753-6570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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