Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12623 S REDWOOD RD, RIVERTON, UT 84065-6606
(801) 254-4916
Mailing address
12623 S REDWOOD RD, RIVERTON, UT 84065-6606
(801) 254-4916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4953952-1701
UT
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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