Alisa Jorgensen Stewart

NPI #1649509233 in Slc, Utah

Provider Information

NPI Number: 1649509233
Entity Type: Individual
Name: Alisa Jorgensen Stewart
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 4190 HIGHLAND DR STE 250
City: Slc
State: Utah
ZIP Code: 84124-2781
Phone: (877) 879-0722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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