Individual
LAFAYE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4526 S 5120 W, WEST VALLEY, UT 84120-5620
(801) 969-5527
Mailing address
4526 S 5120 W, WEST VALLEY, UT 84120-5620
(801) 969-5527
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3746191701
UT
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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