Organization
COTTONWOOD COMPOUNDING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WITZENMAN PHARMD (OWNER/PIC)
(801) 712-1934
Entity
Organization
Contact information
Practice address
7050 S HIGHLAND DR STE 110, COTTONWOOD HEIGHTS, UT 84121-3764
(385) 279-4268
(385) 279-4348
Mailing address
7050 S HIGHLAND DR STE 110, COTTONWOOD HEIGHTS, UT 84121-3764
(385) 279-4268
(385) 279-4348
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
03/28/2022
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