Individual
KENNETH ANTHONY SHIFRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
A050 PHARMACY, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Mailing address
3725 KIMBARY WAY, SALT LAKE CITY, UT 84109-4024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144985-1701
UT
183500000X
Pharmacist
2299
WY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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