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Organization

CRYSTAL HEALTH SOLUTIONS MICHIGAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB C MOENCH (CHIEF EXECUTIVE OFFICER)
(385) 368-6377
Entity
Organization

Contact information

Practice address
160 CUTLER DR STE 300, NORTH SALT LAKE, UT 84054-2967
(801) 854-7347
Mailing address
721 N MAIN ST STE 220, LAYTON, UT 84041-2231
(801) 854-7347

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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