MR. George Joel Thacker IV, PHARMD.

NPI #1700925070 in Provo, Utah

Provider Information

NPI Number: 1700925070
Entity Type: Individual
Name: MR. George Joel Thacker IV, PHARMD.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-3843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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