Organization
UNIVERSITY PHARMACY INC.
Active
Other names
University Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E RASMUSON R.PH. (PRESIDENT)
(801) 582-7624
Entity
Organization
Contact information
Practice address
1320 E 200 S, SALT LAKE CITY, UT 84102-2604
(801) 582-7624
(801) 582-7633
Mailing address
1320 E 200 S, SALT LAKE CITY, UT 84102-2604
(801) 582-7624
(801) 582-7633
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
221240701703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870328034005
—
UT
01
—
U000072095
PTAN FOR PART B
UT
Enumeration date
05/28/2006
Last updated
10/07/2021
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