# UNIVERSITY OF UTAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huntsman Outpatient Pharmacy, HUNTSMAN CANCER RETAIL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861582843
- **Authorized official:** KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
- **Authorized official phone:** (801) 587-6334

## Contact information

- **Practice address:** 1950 CIRCLE OF HOPE DR, STE 2110, SALT LAKE CITY, UT 84112-5500
- **Practice address phone:** (801) 585-0172
- **Practice address fax:** (801) 585-2988
- **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 |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8079984-1703 | UT | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 05/06/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100689 | PK | — |
| 01 | — | 4609282 | NCPDP | — |