Organization
UNIVERSITY OF UTAH
Active
Other names
HOSPITAL OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (BUSINESS OPERATIONS MANAGER)
(801) 587-6334
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2276
(801) 585-2306
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1208
(801) 587-6334
(801) 587-2996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
73467901703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107669
PK
—
01
—
4602757
NCPDP
—
Enumeration date
10/13/2006
Last updated
03/16/2021
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