Individual
MR. MICHAEL JAMES CENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
150 N 900 W, SALT LAKE CITY, UT 84116-3334
(801) 521-3560
Mailing address
150 N 900 W, SALT LAKE CITY, UT 84116-3334
(801) 521-3560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1506701701
UT
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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