Individual
MRS. CAROLYN SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4567
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5419088-1701
UT
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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