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1174047377
TREVOR SOUTHWICK
SYRACUSE, UT
NPI
1174047377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 7619529-1701)
Enumeration Date
2017-07-29
Last Update Date
2017-07-29
Business Address
TREVOR SOUTHWICK PHARMD
2228 W 1700 S
SYRACUSE, UT 84075
Phone number: 801-775-9880
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Mailing Address
TREVOR SOUTHWICK PHARMD
1355 W 25 N
CLEARFIELD, UT 84015
Phone number: 801-837-1821
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