Individual
DR. BETHANIE GARDINER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5469 S REDWOOD RD, TAYLORSVILLE, UT 84123-5318
(801) 264-9797
Mailing address
15228 S STEEP MOUNTAIN DR, DRAPER, UT 84020-5109
(801) 633-4966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3619011701
UT
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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