Organization
MEDS FOR VETS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ERICKSON (OWNER/PHARMACIST)
(801) 255-7666
Entity
Organization
Contact information
Practice address
585 W 9400 S STE 100, SANDY, UT 84070-2569
(801) 255-7666
(801) 255-7690
Mailing address
585 W 9400 S STE 100, SANDY, UT 84070-2569
(801) 255-7666
(801) 255-7690
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
5906468-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611150
NCPDP
—
Enumeration date
05/12/2010
Last updated
12/28/2010
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