WADE OLIVER MOULTON

VERNAL, UT
NPI1205479748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  4907684-1701)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
WADE OLIVER MOULTON PHARM D
1080 W HWY 40
VERNAL, UT 84078
Phone number: 435-789-7235
Mailing Address
WADE OLIVER MOULTON PHARM D
432 W 1070 S
VERNAL, UT 84078-4770
Phone number: 435-789-0250
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