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LEEANN MADRID PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1326473224

Individual Registrant:
 LEEANN  MADRID PHARM.D.
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: --

Contact information for business:
2618 W 15250 S  BLUFFDALE, UT 84065-5079 US
Tel: 801-971-3402  Fax: --

Registration Information:
NPI: 1326473224
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
UT6125201-1701

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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