Organization
MED QUEST PHARMACY
Active
Other names
MEDQUEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUE BUTLER (OWNER PRESIDENT)
(801) 294-1400
Entity
Organization
Contact information
Practice address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
(801) 294-1401
Mailing address
669 W 900 N, NORTH SALT LAKE, UT 84054-2602
(801) 294-1400
(801) 294-1401
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
58722991703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100232
PK
—
Enumeration date
06/12/2006
Last updated
12/19/2014
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