Individual
CHEYENNE MAULDIN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5627 W 13400 S, HERRIMAN, UT 84096-7204
(801) 307-1909
(801) 307-1939
Mailing address
5627 W 13400 S, HERRIMAN, UT 84096-7204
(801) 307-1909
(801) 307-1939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10752324
UT
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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