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Individual

DR. STEPHANIE CROTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1441 UTE BLVD STE 370, PARK CITY, UT 84098-7630
(307) 840-9834
Mailing address
1632 S LOGGERS POND PL APT 33, BOISE, ID 83706-7504

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18526
AL
183500000X
Pharmacist
Primary
3632
NH
183500000X
Pharmacist
5858
ME
183500000X
Pharmacist
9900580-1701
UT
183500000X
Pharmacist
P9119
ID
183500000X
Pharmacist
PHA.0024718
CO
183500000X
Pharmacist
S023241
AZ

Other

Enumeration date
08/29/2011
Last updated
04/04/2024
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