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1629123898
MARK R BRIDGE
OGDEN, UT
NPI
1629123898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 86-149110-1701)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
MR. MARK R BRIDGE RPH
37 N HARRISVILLE RD
OGDEN, UT 84404-3975
Phone number: 801-621-2532
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Mailing Address
MR. MARK R BRIDGE RPH
6240 S 2050 E
OGDEN, UT 84403-5233
Phone number: 801-479-1779
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