Individual
DR. HANNAH REBECCA FUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(518) 810-3512
Mailing address
8204 S WILSON ST, MIDVALE, UT 84047-7554
(518) 810-3512
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9472415-1701
UT
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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