# T & R PHARMACEUTICAL LLC

> 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
- **Other names:** JOLLEYS SANDY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518046283
- **Authorized official:** TROY JOHANSEN (MANAGER)
- **Authorized official phone:** (801) 571-0201

## Contact information

- **Practice address:** 9829 S 1300 E, SUITE 100, SANDY, UT 84094-4000
- **Practice address phone:** (801) 571-0201
- **Practice address fax:** (801) 571-6050
- **Mailing address:** 9829 S 1300 E, SUITE 100, SANDY, UT 84094-4000
- **Mailing address phone:** (801) 571-0201
- **Mailing address fax:** (801) 571-6050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | 62985071703 | UT | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 11/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2108210 | PK | — |