Individual
MICHAEL Q. ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
LDS OUTPATIENT PHARMACY, 8TH AVE AND C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1298
(701) 408-5172
Mailing address
11505 S 1380 E, SANDY, UT 84092-5380
(801) 582-9709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5256322-1701
UT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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