Individual
CHERYL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E 13800 S, DRAPER, UT 84020-9557
(801) 617-0123
(801) 617-0130
Mailing address
125 E 13800 S, DRAPER, UT 84020-9557
(801) 617-0123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151929
UT
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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