Organization
GLYCOCARE DME MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAFAR TARIQ (OWNER)
(307) 289-2158
Entity
Organization
Contact information
Practice address
195 S HIGHWAY 89, NORTH SALT LAKE, UT 84054-2543
(307) 289-2158
Mailing address
195 S HIGHWAY 89, NORTH SALT LAKE, UT 84054-2543
(307) 289-2158
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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