MARK C KOELLIKER

MIDVALE, UT
NPI1922642198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  144234-1701)
Enumeration Date2019-10-31
Last Update Date2019-10-31
Business Address
MARK C KOELLIKER
980 E FORT UNION BLVD
MIDVALE, UT 84047-1714
Phone number: 801-256-0532
Mailing Address
MARK C KOELLIKER
10309 S GRANITE MESA CIR
SANDY, UT 84092-7206
Phone number: 801-942-4478