Provider Demographics
NPI:1154059814
Name:RICE, JAMESON ALLEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMESON
Middle Name:ALLEN
Last Name:RICE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 S HOLLADAY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5268
Mailing Address - Country:US
Mailing Address - Phone:385-257-8312
Mailing Address - Fax:385-257-8311
Practice Address - Street 1:4675 S HOLLADAY BLVD
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5268
Practice Address - Country:US
Practice Address - Phone:385-257-8312
Practice Address - Fax:385-257-8311
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6093099-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist