Individual
KRISTEN KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 IRIS AVE, MORGAN, UT 84050-9738
(801) 388-6356
Mailing address
4235 IRIS AVE, MORGAN, UT 84050-9738
(801) 388-6356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10676
ID
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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