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Organization
MOUNT OLYMPUS COMPOUNDING LLC
Active
Organization
MOUNT OLYMPUS COMPOUNDING LLC
Active
Other names
Mt. Olympus Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE KILPATRICK (MANAGER, LLC)
(801) 824-6968
Entity
Organization
Contact information
Practice address
392 E 12300 S, SUITE A, DRAPER, UT 84020-8181
(801) 278-9008
(801) 849-0399
Mailing address
PO BOX 1344, DRAPER, UT 84020-1344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
87645041703
UT
3336C0004X
Compounding Pharmacy
Primary
87645041703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611960
NCPDP
—
Enumeration date
02/09/2011
Last updated
10/29/2013
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