Individual
KYLE LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Mailing address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5627346-1701
UT
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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