Individual
DR. CONNIE SUNJU HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1702 S 1100 E, SALT LAKE CITY, UT 84105-3424
(801) 484-4393
(801) 484-8677
Mailing address
1702 S 1100 E, SALT LAKE CITY, UT 84105-3424
(801) 484-4393
(801) 484-8677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10497258-1701
UT
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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