NATHAN BULLOCK

PROVO, UT
NPI1447566476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  6023383-1701)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
-- NATHAN BULLOCK PharmD
1324 N STATE ST
PROVO, UT 84604-2419
Phone number: 801-374-2015
Mailing Address
-- NATHAN BULLOCK PharmD
743 W MEADOW SIDE DR
SARATOGA SPRINGS, UT 84045-5316
Phone number: 801-494-5092
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