License holder summary

UINTAH BASIN MED CTR PHARMACY is a Pharmacy - Pharmacy Class A licensed to practice in Utah. The address on file for UINTAH BASIN MED CTR PHARMACY is ROOSEVELT, UT 84066. This licensed professional license is not current. The license was granted 07/23/1997 and expired on 05/31/2003.

Utah

Division of Occupational and Professional Licensing

UINTAH BASIN MED CTR PHARMACY
Pharmacy - Pharmacy Class A
License number
342838-1703
Date granted
07/23/1997
Date expires
05/31/2003
Class
Pharmacy - Pharmacy Class A
Status
Surrendered
Address
ROOSEVELT, UT 84066
utahlicensing.org
ID 29901870
LAST UPDATED 2024-04-04 21:57:55 UTC

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