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NPI Code Detail

MEDICARE: MIKAYLA ROMNEY PHARM.D

MEDICARE: MIKAYLA ROMNEY PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9445864-1701UT

General Provider Information

NPI Number : 1750099123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA ROMNEY PHARM.D
Provider Business Mailing Address
First Line : 227 W 1330 N
Second Line :
City : LOGAN
State : UT
Zip : 84341-2289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1160 N 1000 W
Second Line :
City : LOGAN
State : UT
Zip : 84321-6846
Country : US
Telephone Number : 435-915-4224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 11/14/2022

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Directions to “ MIKAYLA ROMNEY PHARM.D” Practice Location

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