Individual
MRS. MICHELLE EARL CRUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 644-5099
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 644-5099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
286915-1701
UT
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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