Individual
AMANDA MERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
315 W PIERPONT AVE APT 509, SALT LAKE CITY, UT 84101-2141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24191
IA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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