Individual
DR. EVE VAN WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84095-5994
(801) 213-4565
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84095-5994
(801) 213-4565
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6092375-1701
UT
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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