Individual
DR. CARRIE DEKORTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1584 S 1600 E, SALT LAKE CITY, UT 84105-2823
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
103639
AZ
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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