Individual
MACKENZIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
176 E 13800 S, DRAPER, UT 84020-9548
(801) 307-1003
Mailing address
236 W AMANDA LYNN LN, MIDVALE, UT 84047-3571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7792607-8911
UT
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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