# HAVEN INTEGRATED PHARMACY OPERATIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haven Rx, Haven Home Cancer Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114773132
- **Authorized official:** DR. CHARLES OAXACA HALL PHARMD (PRESIDENT AND PHARMACIST IN CHARGE)
- **Authorized official phone:** (801) 604-8736

## Contact information

- **Practice address:** 1890 S 3850 W STE 220, SALT LAKE CITY, UT 84104-4939
- **Practice address phone:** (385) 549-1121
- **Practice address fax:** (855) 571-3472
- **Mailing address:** 1890 S 3850 W STE 220, SALT LAKE CITY, UT 84104-4939
- **Mailing address phone:** (385) 549-1121
- **Mailing address fax:** (855) 571-3472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 02/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4318030 | — | UT |