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Individual

MARK ALAN SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R,PH.

Contact information

Practice address
10130 S STATE ST, SANDY, UT 84070-4118
(801) 255-3101
(801) 255-3101
Mailing address
12 ANN ARBOR DR, DRAPER, UT 84020-3417
(801) 255-3101

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
179298-1701
UT

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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