Jace Muramoto
Pharmacist in Draper, UT. Individual provider (NPI-1).
NPI number1265098685
StatusActive
Last updated in NPPESMay 10, 2019
Details
- NPI
- 1265098685
- Entity type
- Individual (NPI-1)
- Name
- Jace Muramoto
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2019
- Last updated
- May 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P8287 | ID | Yes |
Practice location
11585 S State St Ste 106Draper, UT 84020-7400
Phone 888-557-4319
Mailing address
11585 S State St Ste 106Draper, UT 84020-7400
Phone 888-557-4319
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