# SALMON PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SALMON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205977162
- **Authorized official:** COLLEEN NAKKEN (OFFICE MANAGER)
- **Authorized official phone:** (801) 735-2003

## Contact information

- **Practice address:** 865 N 980 W, OREM, UT 84057-7710
- **Practice address phone:** (801) 735-2003
- **Practice address fax:** (801) 225-2388
- **Mailing address:** 865 N 980 W, OREM, UT 84057-7710
- **Mailing address phone:** (801) 225-2150
- **Mailing address fax:** (801) 225-2388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7214363-1703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1205977162 | — | UT |
| 01 | — | 2106868 | PK | — |