Individual
CHELISE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
337562
UT
Other
Enumeration date
06/25/2014
Last updated
01/02/2015
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