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Organization
UNIVERSITY OF UTAH
Active
Organization
UNIVERSITY OF UTAH
Active
Other names
GREENWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATION MANAGER)
(801) 587-6334
Entity
Organization
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9540
(801) 213-9553
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1208
(801) 587-6334
(801) 585-1808
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
70501191703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099825
PK
—
01
—
4607492
NCPDP
—
Enumeration date
12/13/2006
Last updated
03/16/2021
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