Individual
DR. HYRUM KIMBALL MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3470 E 7800 S, SALT LAKE CITY, UT 84121-5803
(801) 943-0177
(801) 944-1253
Mailing address
3470 E 7800 S, SALT LAKE CITY, UT 84121-5803
(801) 943-0177
(801) 944-1253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4878960-1701
UT
Other
Enumeration date
03/16/2010
Last updated
08/02/2016
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