Individual
SHAWN JOSEPH DENISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
6299 JAMESTOWN CIR, SALT LAKE CITY, UT 84121-2016
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4934540-1701
UT
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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