Individual
MS. DEBRA JEANE RENNER MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2530
Mailing address
3283 MEADOWS DR, PARK CITY, UT 84060-6806
(801) 582-1565
(801) 584-2530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151125-1701
UT
183500000X
Pharmacist
37023
CA
183500000X
Pharmacist
7032
OR
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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