Organization
MEDQUEST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE ANDERSON (COMPLIANCE OFFICER)
(801) 294-1400
Entity
Organization
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
5872299-1703
UT
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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