Individual
DR. ROXANNE V THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1653 W 9000 S, WEST JORDAN, UT 84088-9221
(801) 561-7497
(801) 561-1813
Mailing address
1478 N 260 E, PLEASANT GROVE, UT 84062-9446
(801) 785-7855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
353442-1701
UT
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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