NPI 1104427202

Paul Lorren Thompson

Practitioner Pharmacist Provo, UT

Practice location

Address: 560 W Center St, Provo, UT 84601-4276
Phone: (801) 374-1704
Mailing address: 1961 W 1900 S, Mapleton, UT 84664-4200

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 150619-1701 (UT)

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Registry record

NPI: 1104427202
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2020
Record last updated: 4 Nov 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.