MOBILE VIVITROL, LLC

DRAPER, UT
NPI1033742994
Entity TypeOrganization
Authorized ContactMARK G. RICHARDS
Owner
801-898-7778
Organization Subpart ?No
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
Enumeration Date2020-02-19
Last Update Date2021-03-12
Business Address
MOBILE VIVITROL, LLC
13032 SNOW CREST CR
DRAPER, UT 84020
Phone number: 801-898-7778
Mailing Address
MOBILE VIVITROL, LLC
PO BOX 639
DRAPER, UT 84020
Phone number: 801-558-6564
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