White Bull, Thomas Alan Good Lance

White Bull, Thomas Alan Good Lance is an individual health care provider with primary practice located at 500 Foothill Dr , Salt Lake City UT 84148-0001. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. White Bull, Thomas Alan Good Lance can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address
500 Foothill Dr Salt Lake City UT 84148-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 9752695-1717 Utah

Profile Details

NPI number 1023621232
LBN Legal business name White Bull, Thomas Alan Good Lance
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Aug 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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