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Organization
UNIVERSITY OF UTAH
Active
Organization
UNIVERSITY OF UTAH
Active
Other names
Huntsman Outpatient Pharmacy, HUNTSMAN CANCER RETAIL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
(801) 587-6334
Entity
Organization
Contact information
Practice address
1950 CIRCLE OF HOPE DR, STE 2110, SALT LAKE CITY, UT 84112-5500
(801) 585-0172
(801) 585-2988
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1208
(801) 587-6334
(801) 587-2996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8079984-1703
UT
3336I0012X
Institutional Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100689
PK
—
01
—
4609282
NCPDP
—
Enumeration date
10/13/2006
Last updated
05/06/2021
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