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1184659096
CHARLES DESANTIS
SALT LAKE CITY, UT
NPI
1184659096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 151627-1701)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- CHARLES DESANTIS Pharmacist
VA SALT LAKE CITY HEALTH CARE SYSTEM PHARMACY (119)
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
-- CHARLES DESANTIS Pharmacist
150 S 300 E APT 303
SALT LAKE CITY, UT 84111-2082
Phone number:
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