Anisa Amirtabar

NPI #1396442422 in Draper, Utah

Provider Information

NPI Number: 1396442422
Entity Type: Individual
Name: Anisa Amirtabar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 9, 2023
Last Updated: Feb 9, 2023

Practice Location

Address: 1311 E DRAPER PKWY
City: Draper
State: Utah
ZIP Code: 84020-8567
Phone: (801) 571-0378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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