Individual
JERRICA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2140
Mailing address
9450 S 1300 E, SANDY, UT 84094-5555
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
10875836-1701
UT
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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