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LEEANN MADRID PHARM.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1326473224
Individual Registrant: LEEANN MADRID PHARM.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2618 W 15250 S BLUFFDALE, UT 84065-5079 US
Tel: 801-971-3402 Fax: --
Tel: 801-971-3402 Fax: --
Contact information for business:
2618 W 15250 S BLUFFDALE, UT 84065-5079 US
Tel: 801-971-3402 Fax: --
Tel: 801-971-3402 Fax: --
Registration Information:
NPI: 1326473224
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | UT | 6125201-1701 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
