JEREL BULLOCK

SOUTH JORDAN, UT
NPI1396798781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  339863-1701)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
-- JEREL BULLOCK R.Ph.
1091 W SOUTH JORDAN PKWY SUITE 500
SOUTH JORDAN, UT 84095-8820
Phone number: 801-213-9850
Mailing Address
-- JEREL BULLOCK R.Ph.
1091 W SOUTH JORDAN PKWY SUITE 500
SOUTH JORDAN, UT 84095-8820
Phone number: 801-213-9850
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