Carlos Augusto Mijares PHARMACY INTERN

NPI 1578864369 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1578864369
Gender Male
Enumeration Date 11/09/2010
Last Updated 11/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10920 RIVER FRONT PKWY
SOUTH JORDAN UT, 84095-3538, US
Phone (801) 302-2600
Fax
Business Location
1750 S 1400 E
C/O MARK DALLIN
SPANISH FORK UT, 84660-9704, US
Phone (801) 787-6828
Fax
Toxanomy
Taxonomy Code 390200000X
License State Utah
License Number 7210693-1702
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According to our database, Carlos Augusto Mijares PHARMACY INTERN NPI is 1578864369, taxonomy code is 390200000X and license number is 7210693-1702, license state is located at Utah. Carlos Augusto Mijares PHARMACY INTERN physically located at 10920 River Front Pkwy, South Jordan UT, 84095-3538. NPI Number Carlos Augusto Mijares PHARMACY INTERN has the Individual type.

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1578864369 NPI number is provided on an as is basis without warranty of any kind. 1578864369 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos Augusto Mijares PHARMACY INTERN are for informational purposes only.