Individual
CAROLYN G KOWALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
A050 UNIVERSITY HOSPITAL- PHARMACY, 50 N MEDICAL DR, SLC, UT 84132-0001
(801) 585-6704
Mailing address
2040 BLUEBELL DR, BOUNTIFUL, UT 84010-1613
(801) 585-6704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147593-1701
UT
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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