Individual
BENSON H SEDERHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 585-2330
Mailing address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 585-2330
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5044490-1701
UT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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