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Organization

MEDIPHARM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL DUNN (V.P.)
(801) 839-9079
Entity
Organization

Contact information

Practice address
1260 VINE ST, SALT LAKE CITY, UT 84121-1700
(801) 733-9902
(801) 733-9998
Mailing address
PO BOX 71428, COTTONWOOD, UT 84171-0428
(801) 733-9902
(801) 733-9998

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
375923-1704
UT
332B00000X
Durable Medical Equipment & Medical Supplies
9680-07
UT
3336C0003X
Community/Retail Pharmacy
375923-1704
UT
3336L0003X
Long Term Care Pharmacy
375923-1704
UT
3336S0011X
Specialty Pharmacy
Primary
375923-1704
UT
3336S0011X
Specialty Pharmacy

Other

Enumeration date
04/24/2007
Last updated
08/14/2018
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