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Individual

LACIE CATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
738 W 2075 S, WOODS CROSS, UT 84087-1711
(801) 864-0791
Mailing address
738 W 2075 S, WOODS CROSS, UT 84087-1711

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8785395-1701
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8785395-1701
UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
01
8785395-8911
UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
Enumeration date
03/03/2017
Last updated
03/03/2017
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