Individual
DR. RENEE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
8TH AVENUE C STREET EAST, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
8TH AVENUE C STREET EAST, SALT LAKE CITY, UT 84143-5004
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6665449-1701
UT
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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