Individual
JANE CHANDRAMOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 581-2073
(801) 585-6688
Mailing address
50 N MEDICAL DR, ROOM A050, SALT LAKE CITY, UT 84132-0001
(801) 581-2073
(801) 585-6688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18286
IA
183500000X
Pharmacist
Primary
99-374031-1701
UT
Other
Enumeration date
09/10/2007
Last updated
04/30/2015
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