THOMAS ALAN GOOD LANCE WHITE BULL

SALT LAKE CITY, UT
NPI1023621232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: UT  9752695-1717)
Enumeration Date2020-08-26
Last Update Date2020-08-26
Business Address
THOMAS ALAN GOOD LANCE WHITE BULL CPhT
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
THOMAS ALAN GOOD LANCE WHITE BULL CPhT
809 AVALON HILLS DR
OGDEN, UT 84404-6654
Phone number: 801-928-1269