Healthcare Provider Details

I. General information

NPI: 1932105939
Provider Name (Legal Business Name): LAURA BRITTON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S 500 E STE 160
SALT LAKE CITY UT
84102-2091
US

IV. Provider business mailing address

127 S 500 E STE 160
SALT LAKE CITY UT
84102-2091
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-6610
  • Fax: 801-236-8043
Mailing address:
  • Phone: 801-587-6610
  • Fax: 801-236-8043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number54121341701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: