Provider Demographics
NPI:1114296423
Name:HAWATMEH, ANU (RPH)
Entity Type:Individual
Prefix:
First Name:ANU
Middle Name:
Last Name:HAWATMEH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 MONTANE CV
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9148
Mailing Address - Country:US
Mailing Address - Phone:801-652-4962
Mailing Address - Fax:
Practice Address - Street 1:9426 S 700 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3460
Practice Address - Country:US
Practice Address - Phone:801-307-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT132839-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist