Nicole Crockett, RPH

NPI #1932700747 in South Jordan, Utah

Provider Information

NPI Number: 1932700747
Entity Type: Individual
Name: Nicole Crockett, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 3590 W SOUTH JORDAN PKWY
City: South Jordan
State: Utah
ZIP Code: 84095-8916
Phone: (801) 601-3119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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