# MEDIPHARM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245459627
- **Authorized official:** PAUL DUNN (V.P.)
- **Authorized official phone:** (801) 839-9079

## Contact information

- **Practice address:** 1260 VINE ST, SALT LAKE CITY, UT 84121-1700
- **Practice address phone:** (801) 733-9902
- **Practice address fax:** (801) 733-9998
- **Mailing address:** PO BOX 71428, COTTONWOOD, UT 84171-0428
- **Mailing address phone:** (801) 733-9902
- **Mailing address fax:** (801) 733-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 375923-1704 | UT | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 9680-07 | UT | — |
| 3336C0003X | Community/Retail Pharmacy | 375923-1704 | UT | — |
| 3336L0003X | Long Term Care Pharmacy | 375923-1704 | UT | — |
| 3336S0011X | Specialty Pharmacy | 375923-1704 | UT | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/14/2018