# UNIVERSITY OF UTAH

> 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:** MIDVALLEY SPECIALTY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790147833
- **Authorized official:** KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
- **Authorized official phone:** (801) 587-6334

## Contact information

- **Practice address:** 6056 S FASHION SQUARE DR STE 1000, SUITE 1000, MURRAY, UT 84107-5410
- **Practice address phone:** (801) 213-8650
- **Practice address fax:** (801) 262-2802
- **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 |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 97367431703 | UT | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 03/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159504 | PK | — |
| 01 | — | 4613522 | NCPDP | — |