Individual
KYLEE SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
160 CUTLER DR, NORTH SALT LAKE, UT 84054-2966
(853) 242-5083
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6372629-1701
UT
183500000X
Pharmacist
6372629-8911
UT
Other
Enumeration date
12/11/2017
Last updated
12/12/2023
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