Individual
ANDRE ALI HEJAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3044 E PINEVIEW DR, SALT LAKE CITY, UT 84121-3407
(801) 652-3164
Mailing address
3044 E PINEVIEW DR, SALT LAKE CITY, UT 84121-3407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10911747-1701
UT
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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