Individual
TERESA OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WEST 12600 SOUTH, WAL-MART PHARMACY, RIVERTON, UT 84065
(801) 999-2795
(801) 999-2796
Mailing address
1202 WEST 12600 SOUTH, WAL-MART PHARMACY, RIVERTON, UT 84065
(801) 999-2795
(801) 999-2796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
294623-1701
UT
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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