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Individual

DAT AUDUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
12907 SOUTH ZUNI DRIVE, RIVERTON, UT 84096
(801) 907-5630

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
49362151701
UT

Other

Enumeration date
04/20/2009
Last updated
08/14/2009
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