Organization
MOUNT OLYMPUS COMPOUNDING LLC
Active
Other names
Mt. Olympus Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE KILPATRICK (MANAGER, LLC)
(801) 824-6968
Entity
Organization
Contact information
Practice address
392 E 12300 S, SUITE A, DRAPER, UT 84020-8181
(801) 278-9008
(801) 849-0399
Mailing address
PO BOX 1344, DRAPER, UT 84020-1344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
87645041703
UT
3336C0004X
Compounding Pharmacy
Primary
87645041703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611960
NCPDP
—
Enumeration date
02/09/2011
Last updated
10/29/2013
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