Individual
THUY LEVO HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1174 W 600 N, SALT LAKE CITY, UT 84116-2676
(801) 363-1047
(801) 355-8831
Mailing address
1174 W 600 N, SALT LAKE CITY, UT 84116-2676
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6374799-1701
UT
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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