Individual
DR. SHANTEL MARIE MULLIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
DEPARTMENT OF PHARMACY SERVICES, 50 NORTH MEDICAL DRIVE, A-050, SALT LAKE CITY, UT 84132-0001
(801) 581-2147
Mailing address
2137 KING ST, SALT LAKE CITY, UT 84109-1301
(801) 581-2147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
95-295849-1701
UT
183500000X
Pharmacist
P5141
ID
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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