Nathan Bullock, PHARMD

NPI #1447566476 in Provo, Utah

Provider Information

NPI Number: 1447566476
Entity Type: Individual
Name: Nathan Bullock, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 27, 2010
Last Updated: Aug 27, 2010

Practice Location

Address: 1324 N STATE ST
City: Provo
State: Utah
ZIP Code: 84604-2419
Phone: (801) 374-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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