Individual
RUSSELL ALLEN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
501 CHIPETA WAY, SALT LAKE CTY, UT 84108-1222
(801) 587-3200
(801) 587-3304
Mailing address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3204
(801) 587-3304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1429841719
UT
Other
Enumeration date
07/18/2006
Last updated
08/02/2007
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