NPI 1063643120

Phung Matthews, PHARMD

Practitioner Pharmacist Taylorsville, UT

Practice location

Address: 1837 West 4700 South, Taylorsville, UT 84118
Phone: (801) 967-0682

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5809602-1701 (UT)

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Registry record

NPI: 1063643120
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2009
Record last updated: 6 Aug 2009

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.