Individual
LUIS NORBERTO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
(801) 538-6100
Mailing address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7177351-1701
UT
Other
Enumeration date
05/07/2021
Last updated
10/20/2022
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