Individual
PAULA MICHELLE GEDDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 561-3400
Mailing address
179 EUGENE ST, NORTH SALT LAKE, UT 84054-1764
(801) 809-5305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5352246
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835P0018X
—
UT
Enumeration date
04/20/2020
Last updated
04/20/2020
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