Dr. JACK MATTHEW LAWRENCE PharmD
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1639087950- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PharmD
- Status
- Active
Contact & Location
- Address
- 5450 S GREEN ST, SALT LAKE CITY, UT, 841235632
- Phone
- (801) 214-7671
Specialties & Taxonomies
Pharmacist
Primary License: UT #14269654-1701
All Addresses
MAILING
1350 E MILLER AVE APT 504
MILLCREEK, UT, 841064940