Provider Demographics
NPI:1649925397
Name:CHRISTOFFERSEN, ABIGAIL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:CHRISTOFFERSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2464 N HOODED CRANE CIR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:UT
Mailing Address - Zip Code:84015-8307
Mailing Address - Country:US
Mailing Address - Phone:801-979-2870
Mailing Address - Fax:
Practice Address - Street 1:5800 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5327
Practice Address - Country:US
Practice Address - Phone:801-565-0017
Practice Address - Fax:801-252-4949
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10441398-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist