# P4 PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093287757
- **Authorized official:** SPENCER SNYDER (PHARMACIST)
- **Authorized official phone:** (385) 274-0098

## Contact information

- **Practice address:** 3583 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3254
- **Practice address phone:** (385) 415-5863
- **Practice address fax:** (285) 256-9431
- **Mailing address:** 3583 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2018
- **Last updated:** 01/20/2023
