Individual
DAVID LEE DEHERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5630 W 4100 S, SALT LAKE CITY, UT 84128-4338
(801) 840-5155
Mailing address
5630 W 4100 S, SALT LAKE CITY, UT 84128-4338
(801) 840-5155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
274426-1701
UT
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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