Individual
MRS. SANDRA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
Mailing address
3047 E 7180 S, SALT LAKE CITY, UT 84121-4345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
133482
UT
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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