Brenda Waller

NPI 1073125373 · on the registry since 2020

Practice

Address: 729 N Redwood Rd
Salt Lake City, UT 84116
Phone: (801) 532-3795
Fax: (801) 532-4909
Organisation at this address: Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah