Individual
SHANNON MARIE TUTTLE GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 576-2025
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 576-2025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8346650-1701
UT
1835P2201X
Ambulatory Care Pharmacist
Primary
8346650-1701
UT
Other
Enumeration date
03/11/2020
Last updated
02/21/2022
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