NPI 1316537913 · live from the CMS NPI Registry
Makinna Clough
Pharmacy Technician in St George, UT. National Provider Identifier 1316537913, active.
NPI record
| NPI | 1316537913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy Technician 183700000X |
| Practice location | 617 E Riverside Dr Ste 104, St George, UT 84790 |
| Practice phone | 801-656-2059 |
| Mailing address | 5914 S Challenger Way, St George, UT 84790 |
| Enumerated | January 19, 2021 |
| Last updated | January 19, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician primary | 183700000X | 6543993-1717 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.