Organization
ACUPHARM LLC
Active
Other names
AcuPharm, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DEMASS BSPHARM (PHARMACIST)
(801) 456-4505
Entity
Organization
Contact information
Practice address
990 W ATHERTON DR # 200, SALT LAKE CITY, UT 84123-3465
(801) 456-4505
(801) 456-4508
Mailing address
990 W ATHERTON DR # 200, SALT LAKE CITY, UT 84123-3465
(801) 456-4505
(801) 456-4508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
107642931704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127314
PK
—
Enumeration date
10/28/2010
Last updated
07/19/2018
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