MIKE CHAMBERLAIN

PROVO, UT
NPI1255361481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  274701-1701)
Enumeration Date2006-07-04
Last Update Date2013-08-06
Business Address
-- MIKE CHAMBERLAIN RPh
3661 N CANYON RD
PROVO, UT 84604-4536
Phone number: 801-226-7994
Mailing Address
-- MIKE CHAMBERLAIN RPh
3661 N CANYON RD
PROVO, UT 84604-4536
Phone number: