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Organization
PRECISION CUSTOM COMPOUNDS
Active
Organization
PRECISION CUSTOM COMPOUNDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MICHAEL GAGLIARDI (OWNER)
(760) 815-1482
Entity
Organization
Contact information
Practice address
4624 S HOLLADAY BLVD STE 3, SALT LAKE CITY, UT 84117-7169
(760) 815-1482
Mailing address
4624 S HOLLADAY BLVD STE 3, SALT LAKE CITY, UT 84117-7169
(760) 815-1482
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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