# GLOBAL MEDICAL THERAPEUTICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLOBAL MEDICAL THERAPEUTICS, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790157261
- **Authorized official:** MAYSAM MORTAZAVI (PHARMACIST IN CHARGE)
- **Authorized official phone:** (801) 518-1327

## Contact information

- **Practice address:** 1890 S 3850 W STE 121-A, SALT LAKE CITY, UT 84104
- **Practice address phone:** (801) 935-4305
- **Practice address fax:** (801) 953-0908
- **Mailing address:** 1890 S 3850 W STE 121-A, SALT LAKE CITY, UT 84104-4909
- **Mailing address phone:** (801) 935-4305
- **Mailing address fax:** (801) 953-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10923754-1703 | UT | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 01/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2155240 | PK | — |