Anthony Matthew Mazza, RPh
Pharmacist in Sunset, UT. Individual provider (NPI-1).
NPI number1124579313
StatusActive
Last updated in NPPESOct 22, 2016
Details
- NPI
- 1124579313
- Entity type
- Individual (NPI-1)
- Name
- Anthony Matthew Mazza
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2016
- Last updated
- Oct 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5039647-1701 | UT | Yes |
| 183500000X | Pharmacist | 3916 | WY |
Practice location
2353 N Main StSunset, UT 84015-2454
Phone 801-825-2262 · Fax 801-773-3989
Mailing address
1566 34th StOgden, UT 84403-1366
Phone 801-627-8573
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