Organization
NEW LIFE PHARMACY LLC
Active
Other names
New Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIRTAJ SINGH (PIC/AUTHORIZED SIGNATORY)
(801) 716-7200
Entity
Organization
Contact information
Practice address
9883 S 500 W, SANDY, UT 84070-2561
(801) 716-7200
(801) 716-7202
Mailing address
9883 S 500 W, SANDY, UT 84070-2561
(801) 727-1970
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8941527-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144730
PK
—
Enumeration date
03/13/2014
Last updated
09/23/2014
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