NPI 1093006926

Laura Cruz, PHARMACIST

Practitioner Pharmacist Slc, UT

Practice location

Address: 828 S 900 W, Slc, UT 84104-1455
Phone: (801) 364-2564
Mailing address: 3353 Hurstbourne Dr, West Jordan, UT 84084-1175

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5663779-1701 (UT)

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Registry record

NPI: 1093006926
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2011
Record last updated: 26 Apr 2011

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.