Individual provider · Type 1 NPI

Carlos Augusto Mijares, PHARMACY INTERN

Student in an Organized Health Care Education/Training Program · South Jordan, UT

NPI number 1578864369 Active

Practice location

10920 River Front Pkwy
South Jordan, UT 84095-3538

Call (801) 302-2600 Map

Mailing address

1750 S 1400 E, C/o Mark Dallin
Spanish Fork, UT 84660-9704

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X7210693-1702 (UT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1578864369

Carlos Augusto Mijares, PHARMACY INTERN's National Provider Identifier is 1578864369, issued on Nov 9, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Jordan, UT. The record was last updated on Nov 9, 2010.