Individual
KIM A MANUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2576 S HIGHWAY 89, WOODS CROSS, UT 84010
(801) 335-3610
Mailing address
2576 S HIGHWAY 89, WOODS CROSS, UT 84010
(801) 335-3610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56643981701
UT
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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