Organization
FUSION MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY WALKER PHARMD (PHARMACIST)
(801) 898-7132
Entity
Organization
Contact information
Practice address
510 S 600 E, SALT LAKE CITY, UT 84102-2710
(801) 355-6868
Mailing address
510 S 600 E, SALT LAKE CITY, UT 84102-2710
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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