Gerald Brennon Van Wie, PHARMD

NPI #1609471218 in Herriman, Utah

Provider Information

NPI Number
1609471218
Entity Type
Individual
Name
Gerald Brennon Van Wie, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Dec 1, 2020
Last Updated
Dec 1, 2020

Practice Location

Address
4968 W 13400 S
State
Utah
ZIP Code
84096-6427
Phone
(801) 254-6135

Specialties & Taxonomy Codes

Specialty
Pharmacist

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