NPI 1033143276

Maxine Jan Miller

Practitioner Pharmacist Slc, UT

Practice location

Address: 500 Foothill Blvd, Slc, UT 84148
Phone: (801) 582-4565
Mailing address: 9006 Summer Crest Dr, Sandy, UT 84093

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P4915 (ID)

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Registry record

NPI: 1033143276
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.