MICHAEL BERGQUIST

SALT LAKE CITY, UT
NPI1104040658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  289291-1701)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- MICHAEL BERGQUIST
1321 E 4000 S
SALT LAKE CITY, UT 84124-1446
Phone number: 801-560-0943
Mailing Address
-- MICHAEL BERGQUIST
1321 E 4000 S
SALT LAKE CITY, UT 84124-1446
Phone number:
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