Individual
ANISA AMIRTABAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 E DRAPER PKWY, DRAPER, UT 84020-8567
(801) 571-0378
Mailing address
1131 E DRAPER PKWY, DRAPER, UT 84020
(801) 571-0378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7244397
UT
183500000X
Pharmacist
Primary
7244937-1701
UT
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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