RYAN PORTER LONG

VERNAL, UT
NPI1992081871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  7344956-1701)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- RYAN PORTER LONG Pharm D.
1316 WEST HWY 40
VERNAL, UT 84078-8811
Phone number: 435-789-7936
Mailing Address
-- RYAN PORTER LONG Pharm D.
1316 WEST HWY 40
VERNAL, UT 84078-8811
Phone number: 435-789-7936
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