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Glen Alden Harline, Rph

Pharmacist in South Jordan, UT. Individual provider (NPI-1).

NPI number1689301855
StatusActive
Last updated in NPPESAug 6, 2022

Details

NPI
1689301855
Entity type
Individual (NPI-1)
Name
Glen Alden Harline
Credential
Rph
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2022
Certification date
Aug 6, 2022
Last updated
Aug 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist276895-1701UTYes

Practice location

4727 W South Jordan Pkwy
South Jordan, UT 84009-1708

Phone 385-297-9740 · Fax 385-297-9741

Mailing address

4727 W South Jordan Pkwy
South Jordan, UT 84009-1708

Phone 385-297-9740 · Fax 385-297-9741

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