Individual
ROBERT ALLEN MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2039 E 9400 S, SANDY, UT 84093-3100
(801) 942-2227
(801) 943-7436
Mailing address
9486 S 2280 E, SANDY, UT 84092-3239
(801) 942-4565
(801) 943-7236
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
151794-1701
UT
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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