Individual provider · NPI-1

Gale Owen Anderson, R.Ph.

Pharmacist · Salt Lake City, UT

NPI number1760416168
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1760416168
Entity type
Individual (NPI-1)
Name
Gale Owen Anderson
Credential
R.Ph.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist152309UTYes

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone 801-582-1565 · Fax 801-584-2530

Mailing address

10159 Britley Bay
South Jordan, UT 84095-9198

Phone 801-280-3091

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