Individual
HENRY HSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3540 S 4000 W STE 430, WEST VALLEY CITY, UT 84120-3246
(801) 957-8454
Mailing address
1629 W 8390 S, WEST JORDAN, UT 84088-7916
(801) 664-9491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10493497-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10493497-1701
UT DOPL - PHARMACIST LICENSE
UT
01
—
10493497-8911
UT DOPL - PHARMACIST CONTROLLED SUBSTANCE LICENSE
—
Enumeration date
08/10/2022
Last updated
08/10/2022
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