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Individual

DEREK GLADE CHRISTENSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5770 S 250 E, SUITE 145, MURRAY, UT 84107-8100
(801) 314-2325
(801) 314-2143
Mailing address
5770 S 250 E, SUITE 145, MURRAY, UT 84107-8100
(801) 314-2325
(801) 314-2143

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147374-1701
UT

Other

Enumeration date
05/06/2006
Last updated
07/08/2007
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