Individual
DR. AMANDA ANN GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50 N MEDICAL DR, A150, SALT LAKE CITY, UT 84132-0001
(801) 585-9236
Mailing address
1000 FAIRCLOUGH DR, SALT LAKE CITY, UT 84106-2008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5556058-1701
UT
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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