Organization
UNIVERSITY OF UTAH
Active
Other names
REDWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
(801) 587-6334
Entity
Organization
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9950
(801) 213-9965
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1208
(801) 587-6334
(801) 587-2996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7098434-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108200
PK
—
01
—
4606236
NCPDP
—
Enumeration date
10/12/2006
Last updated
03/16/2021
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