Individual
ELIZABETH LEE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED PHARMACIS
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7051
Mailing address
2227 E 10300 S, SANDY, UT 84092-6130
(801) 942-1746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144805-1701
UT
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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