Individual
JENNIE E SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3291 HIGHLAND DR, SALT LAKE CITY, UT 84106-3022
(801) 478-0146
Mailing address
1881 E 3060 S, SALT LAKE CITY, UT 84106-3929
(801) 419-0826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7892442-1701
UT
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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