NPI 1093050619

Banou Rafiei, PHARMD

Practitioner Pharmacist Taylorsville, UT

Practice location

Address: 1837 W 4700 S, Taylorsville, UT 84129-1103
Phone: (801) 967-0682
Mailing address: 3415 E Bernada Dr, Salt Lake City, UT 84124-4747

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 7125555-1701 (UT)

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Registry record

NPI: 1093050619
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2012
Record last updated: 7 Dec 2012

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.