Individual
PATRICIA THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3652 KAIBAB CIR, SALT LAKE CITY, UT 84109-2309
(801) 673-8391
Mailing address
3652 KAIBAB CIR, SALT LAKE CITY, UT 84109-2309
(801) 673-8391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1515151701
UT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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