Individual
MRS. CARMEN MEDINA ALBERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 E 100 S, SALT LAKE CITY, UT 84111-6500
(801) 428-0399
Mailing address
135 E 100 S, SALT LAKE CITY, UT 84111-6500
(801) 428-0399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
800057451701
UT
183500000X
Pharmacist
Primary
P6571
ID
Other
Enumeration date
08/25/2011
Last updated
07/13/2012
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