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NPI Code Detail

MEDICARE: MS. CARRI LYN PALMER RPH

MEDICARE: MS. CARRI LYN PALMER RPH
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
1183500000XPharmacist149255-1701UT

General Provider Information

NPI Number : 1255389631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARRI LYN PALMER RPH
Provider Business Mailing Address
First Line : 1223 SIENNA WAY
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84123-2906
Country : US
Telephone Number : 801-213-9950
Fax Number : 801-213-9965
Provider Business Practice Location Address
First Line : 1525 W 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1401
Country : US
Telephone Number : 801-213-9950
Fax Number : 801-213-9965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CARRI LYN PALMER RPH” Practice Location

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