Basic Information
| Provider Information | |||||||||
| NPI: | 1760485288 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUNNING | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 S 2000 E | ||||||||
| Address2: | RM 258 | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841125820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015879553 | ||||||||
| FaxNumber: | 8015856160 | ||||||||
| Practice Location | |||||||||
| Address1: | 1138 WILMINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841062819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015812000 | ||||||||
| FaxNumber: | 8014630313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2005 | ||||||||
| LastUpdateDate: | 09/10/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 309956-1701 | UT | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.