Individual
SUSAN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 S CENTRAL CAMPUS DR, RM 156, SALT LAKE CITY, UT 84112-9149
(801) 587-3363
(801) 587-3375
Mailing address
2660 FILMORE ST, SALT LAKE CITY, UT 84106-3604
(801) 487-9115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151810-1701
UT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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