Individual
TOWA M ANDELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 W 1700 S, SYRACUSE, UT 84075-9129
(801) 614-1299
(801) 614-1320
Mailing address
1037 W 1700 S, SYRACUSE, UT 84075-9129
(801) 614-1299
(801) 614-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
218082-1701
UT
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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