Provider First Line Business Practice Location Address:
1400 OUTPATIENT PHARMACY-UNIV OF UTAH HOSPITAL
Provider Second Line Business Practice Location Address:
50N MEDICAL DRIVE
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-2276
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2007