Individual
AMANDA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
5512 W STRAIGHTS LN, WEST VALLEY CITY, UT 84120-2850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7098086-1701
UT
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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