Individual
KELLI THORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 E EMERSON AVE, SALT LAKE CITY, UT 84115-1531
(801) 390-0362
Mailing address
458 E EMERSON AVE, SALT LAKE CITY, UT 84115-1531
(801) 390-0362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6597642-1701
UT
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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