Individual
BONNIE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2039 E 9400 S, SANDY, UT 84093-3100
(801) 942-0444
Mailing address
2039 E 9400 S, SANDY, UT 84093-3100
(801) 942-2227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151415-1701
UT
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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