Individual
MARYN RISENMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1672 ROYCROFT PL, APT A, SLC, UT 84124-2593
(801) 319-2794
Mailing address
1672 ROYCROFT PL, APT A, SLC, UT 84124-2593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6432666-1701
UT
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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