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NPI Code Detail

MEDICARE: DR. KAREN MARIE GUNNING PHARM.D.

MEDICARE: DR. KAREN MARIE GUNNING PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist309956-1701UT

General Provider Information

NPI Number : 1760485288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN MARIE GUNNING PHARM.D.
Provider Business Mailing Address
First Line : 30 S 2000 E
Second Line : RM 258
City : SALT LAKE CITY
State : UT
Zip : 84112-5820
Country : US
Telephone Number : 801-587-9553
Fax Number : 801-585-6160
Provider Business Practice Location Address
First Line : 1138 WILMINGTON AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2819
Country : US
Telephone Number : 801-581-2000
Fax Number : 801-463-0313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 09/10/2007

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