Salt Lake Specialty Medical Center, Inc
Pharmacy in Salt Lake City, UT

License number
Utah 5137940-8913
Issued Date
Jul 29, 2002
Expiration Date
May 31, 2005
Category
Pharmacy
Type
Dispensing Controlled Substance License
Address
Address
Salt Lake City, UT

Organization information

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SALT LAKE SPECIALTY MEDICAL CENTER, INC

3460 S Pioneer Pkwy 5, Salt Lake City, UT 84120

Status:
Inactive
Registration:
Apr 29, 2002
State ID:
5114440-0151
Business type:
DBA
Agent:
Robert G Polahar,3460 S Pioneer Pkwy 5, Salt Lake City, UT 84120 (Physical)