Diversified Professional Company

NPI #1487736161 in Ogden, Utah

Provider Information

NPI Number
1487736161
Entity Type
Organization
Organization Name
Diversified Professional Company
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Oct 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1159 E 12TH STREET
City
Ogden
State
Utah
ZIP Code
84404-5144
Phone
(801) 334-3190

Authorized Official

Name
MR. GARY LYNN BAILEY, RPH
Title
PRESIDENT
Phone
(801) 334-3190

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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