Organization
IMA-SLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN NABOR PHARM.D (DIRECTOR OF PHARMACY)
(801) 325-5097
Entity
Organization
Contact information
Practice address
95 S STATE ST STE 1300, SALT LAKE CITY, UT 84111-1659
(801) 325-5097
Mailing address
95 S STATE ST STE 1300, SALT LAKE CITY, UT 84111-1659
(801) 644-2412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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