Individual
DR. BONNIE KATHLEEN PORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
PHARMACY SERVICES #119, 500 FOOTHILL BLVD., SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2587
Mailing address
PHARMACY SERVICES #119, 500 FOOTHILL BLVD., SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2587
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
2737311701
UT
Other
Enumeration date
07/04/2006
Last updated
07/17/2007
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