Individual
BROOKE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3793 S STATE ST, SOUTH SALT LAKE, UT 84115-4828
(801) 268-9699
Mailing address
3793 S STATE ST, SOUTH SALT LAKE, UT 84115-4828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5038448-1701
UT
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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