Jerel Bullock, R.PH.

NPI #1396798781 in South Jordan, Utah

Provider Information

NPI Number: 1396798781
Entity Type: Individual
Name: Jerel Bullock, R.PH.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: May 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1091 W SOUTH JORDAN PKWY
Address 2: SUITE 500
City: South Jordan
State: Utah
ZIP Code: 84095-8820
Phone: (801) 213-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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