Individual
OLESYA SHCHEGLOVITOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4675 S HOLLADAY BLVD, HOLLADAY, UT 84117-5268
(385) 257-8310
(385) 257-8311
Mailing address
4675 S HOLLADAY BLVD, HOLLADAY, UT 84117-5268
(385) 257-8310
(385) 257-8311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10462674-1701
UT
183500000X
Pharmacist
Primary
104626741701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10462674-1701
—
UT
05
—
104626741701
—
UT
Enumeration date
08/05/2022
Last updated
08/05/2022
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