Cameron Tolley
Pharmacy in Magna, UT. Individual provider (NPI-1).
NPI number1982248407
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1982248407
- Entity type
- Individual (NPI-1)
- Name
- Cameron Tolley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5797362-1701 | – | Yes |
Practice location
8055 W 3500 SMagna, UT 84044-2218
Phone 801-250-6900 · Fax 801-252-1000
Mailing address
8055 W 3500 SMagna, UT 84044
Phone 801-250-6900 · Fax 801-252-1000
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