Individual
FERNANDO CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 E 13800 S, DRAPER, UT 84020
(801) 307-1003
Mailing address
176 E 13800 S, DRAPER, UT 84020
(801) 307-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6820324-1701
UT
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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