Individual
HEATH PATERAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
150 N 900 W, SALT LAKE CITY, UT 84116-3334
(801) 521-3560
(801) 364-4419
Mailing address
150 N 900 W, SALT LAKE CITY, UT 84116-3334
(801) 521-3560
(801) 364-4419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7118993
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7118993
PHARMACIST LICENSE
UT
Enumeration date
06/03/2014
Last updated
06/03/2014
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