Derek James Tully
NPI #1972114007 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1972114007
- Entity Type
- Individual
- Name
- Derek James Tully
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Aug 12, 2020
Practice Location
- Address
- 2332 E 2100 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84109-1319
- Phone
- (801) 466-9949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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