Individual
MS. CHERI FORD HABENICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7051
(801) 357-7269
Mailing address
6722 STONE MILL DR, COTTONWOOD HEIGHTS, UT 84121-3494
(801) 357-7051
(801) 357-7269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147086-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870430564007
—
UT
Enumeration date
05/21/2007
Last updated
07/08/2007
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