Individual
RIMA MAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8068 S TWELVE PINES DR, SANDY, UT 84094-7209
(801) 671-2657
Mailing address
8068 S TWELVE PINES DR, SANDY, UT 84094-7209
(801) 671-2657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5573440-1701
UT
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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