Individual
STACIE A RABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
8541 S 1575 E, SANDY, UT 84093-1371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3298911701
UT
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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