Individual
TATIANA GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4714 S HOLLADAY BLVD, SALT LAKE CITY, UT 84117-5403
(801) 278-9841
(801) 277-3473
Mailing address
4714 S HOLLADAY BLVD, SALT LAKE CITY, UT 84117-5403
(801) 278-9841
(801) 277-3473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7109666-1701
UT
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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