Individual
STACEY A NAVINCOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3512 VIA ESPERANZA WAY, SOUTH JORDAN, UT 84095-8147
(801) 505-1300
Mailing address
1442 W 90TH S, WEST JORDAN, UT 84088-9218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15263
CO
183500000X
Pharmacist
Primary
6553967-1701
UT
Other
Enumeration date
06/30/2005
Last updated
03/17/2011
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