Individual
MRS. DENA HENLEY CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4444 N MAPLE DRIVE, EAGLE MOUNTAIN, UT 84005
(801) 789-2362
Mailing address
4444 N MAPLE DRIVE, EAGLE MOUNTAIN, UT 84005
(801) 789-2362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6309627-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6309627-1701
PHARMACIST'S LICENSE
UT
Enumeration date
03/28/2007
Last updated
07/08/2007
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