Individual
SHARAREH GHAZIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 E DRAPER PKWY, DRAPER, UT 84020-8567
(801) 816-9466
Mailing address
1775 E KIERA CT, SALT LAKE CITY, UT 84124-3586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6605152-1701
UT
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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