MARILOU MINER KRSTYEN

BOUNTIFUL, UT
NPI1902171804
Professional NameMARILOU MINER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  147673-1701)
Enumeration Date2012-03-12
Last Update Date2012-03-12
Business Address
-- MARILOU MINER KRSTYEN RPh
573 W 100 N
BOUNTIFUL, UT 84010-7018
Phone number: 801-299-3968
Mailing Address
-- MARILOU MINER KRSTYEN RPh
3242 FORTUNA DR
SALT LAKE CITY, UT 84124-5614
Phone number: 801-273-0851