GRANT E SEVERE

LOGAN, UT
NPI1265074157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  147190)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
GRANT E SEVERE Rph
175 E 442 N
LOGAN, UT 84321
Phone number: 435-753-6570
Mailing Address
GRANT E SEVERE Rph
9 S 490 E
SMITHFIELD, UT 84335-1221
Phone number: 435-764-1559
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