# UNIVERSITY OF UTAH

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

## Provider details

- **NPI number:** 1578652160
- **Authorized official:** KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
- **Authorized official phone:** (801) 587-6334

## Contact information

- **Practice address:** 5126 W DAYBREAK PKWY, ROOM 101, SOUTH JORDAN, UT 84009-5994
- **Practice address phone:** (801) 213-4550
- **Practice address fax:** (801) 213-4555
- **Mailing address:** PO BOX 841208, LOS ANGELES, CA 90084-1208
- **Mailing address phone:** (801) 587-6334
- **Mailing address fax:** (801) 587-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 81397451703 | UT | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 03/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100755 | PK | — |
| 01 | — | 4609561 | NCPDP | — |