Individual provider · NPI-1

Dr. Jesse Anderson, PharmD

Pharmacist · Salt Lake City, UT

NPI number1346011772
StatusActive
Last updated in NPPESJan 15, 2024

Details

NPI
1346011772
Entity type
Individual (NPI-1)
Name
Dr. Jesse Anderson
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 15, 2024
Certification date
Jan 13, 2024
Last updated
Jan 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist10077308UTYes

Practice location

909 E 2100 S
Salt Lake City, UT 84106-2321

Phone 801-463-4870

Mailing address

909 E 2100 S
Salt Lake City, UT 84106-2321

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