Individual
MRS. HANNAH TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
648 E 800 S, OREM, UT 84097-6528
(801) 851-5003
Mailing address
4491 S CAPE VISTA WAY, WEST VALLEY CITY, UT 84128-7746
(801) 864-3318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8548758-1701
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/07/2021
Last updated
10/09/2021
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