# ECO PHARMACY OF SALT LAKE CITY 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eco Pharmacy of Salt Lake City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649643909
- **Authorized official:** JASMEET SINGH (OWNER, AO)
- **Authorized official phone:** (832) 859-9523

## Contact information

- **Practice address:** 12523 S CREEK MEADOW DR, RIVERTON, UT 84065-7291
- **Practice address phone:** (801) 254-6111
- **Practice address fax:** (801) 251-6226
- **Mailing address:** 12523 S CREEK MEADOW DR, RIVERTON, UT 84065-7291
- **Mailing address phone:** (801) 254-6111
- **Mailing address fax:** (801) 251-6226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9301773-1703 | UT | Yes |

## Other

- **Enumeration date:** 11/09/2015
- **Last updated:** 05/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2155228 | PK | — |