Individual
LAURA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
828 S 900 W, SLC, UT 84104-1455
(801) 364-2564
Mailing address
3353 HURSTBOURNE DR, WEST JORDAN, UT 84084-1175
(801) 965-8084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5663779-1701
UT
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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