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Individual

BRENDA BAXTER ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
11100 AUTO MALL DR, SANDY, UT 84070-4171
(801) 790-0002
Mailing address
11100 AUTO MALL DR, SANDY, UT 84070-4171
(801) 790-0002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48587541701
UT

Other

Enumeration date
03/12/2012
Last updated
03/12/2012
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