Individual
ABIGALE BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2071 E ASHTON CIR, SALT LAKE CITY, UT 84109-1103
(435) 647-6450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-70910
MT
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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