Individual
NICOLE MARIE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3865 S 2300 E, SALT LAKE CITY, UT 84109-3422
(801) 278-5298
Mailing address
2386 ADELAIDE DR, RIVERTON, UT 84065-1900
(801) 580-3064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
316890-1701
UT
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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