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NPI Code Detail

MEDICARE: KRISTEN A JEFFERIES PHARMD

MEDICARE:   KRISTEN A JEFFERIES  PHARMD
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
1183500000XPharmacist500586-1701UT

General Provider Information

NPI Number : 1609867662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN A JEFFERIES PHARMD
Provider Business Mailing Address
First Line : 50 N MEDICAL DR
Second Line : DEPARTMENT OF PHARMACY SERVICES ROOM A050
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-587-8122
Fax Number : 801-587-8113
Provider Business Practice Location Address
First Line : 729 ARAPEEN DR
Second Line : NEUROLOGY CLINIC
City : SALT LAKE CITY
State : UT
Zip : 84108-1218
Country : US
Telephone Number : 801-587-8122
Fax Number : 801-587-8113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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Directions to “ KRISTEN A JEFFERIES PHARMD” Practice Location

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