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Organization
HAVEN INTEGRATED PHARMACY OPERATIONS
Active
Organization
HAVEN INTEGRATED PHARMACY OPERATIONS
Active
Other names
Haven Rx, Haven Home Cancer Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES OAXACA HALL PHARMD (PRESIDENT AND PHARMACIST IN CHARGE)
(801) 604-8736
Entity
Organization
Contact information
Practice address
1890 S 3850 W STE 220, SALT LAKE CITY, UT 84104-4939
(385) 549-1121
(855) 571-3472
Mailing address
1890 S 3850 W STE 220, SALT LAKE CITY, UT 84104-4939
(385) 549-1121
(855) 571-3472
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4318030
—
UT
Enumeration date
04/29/2024
Last updated
02/02/2026
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