Organization
PALLIATIVE CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S NICHOLS CPHT (MANAGING MEMBER)
(801) 433-3033
Entity
Organization
Contact information
Practice address
1790 WEST 3500 SOUTH, SUITE C, SALT LAKE CITY, UT 84119
(801) 433-3033
(801) 433-3035
Mailing address
1790 WEST 3500 SOUTH, SUITE C, SALT LAKE CITY, UT 84119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6353617-1710
UT
Other
Enumeration date
05/04/2007
Last updated
08/31/2007
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