Individual
CHRISTOPHER CANTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH MBA
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 828-8632
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 828-8632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6078460-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6078460-1701
UTAH BOARD OF PHARMACY
UT
Enumeration date
11/24/2013
Last updated
11/24/2013
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