NPI 1023621232

Thomas Alan Good Lance White Bull, CPHT

Practitioner Pharmacy Technician Salt Lake City, UT

Practice location

Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Mailing address: 809 Avalon Hills Dr, Ogden, UT 84404-6654

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 9752695-1717 (UT)

Other Pharmacy Technician providers in Utah →

Registry record

NPI: 1023621232
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2020
Record last updated: 26 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.