Organization
UNIVERSITY OF UTAH
Active
Other names
FARMINGTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATION MANAGER)
(801) 587-6334
Entity
Organization
Contact information
Practice address
165 N UNIVERSITY AVE, RM 102, FARMINGTON, UT 84025-2990
(801) 213-6310
(801) 213-6603
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1124
(801) 587-6334
(801) 587-2996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9894237-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163850
PK
—
01
—
4613685
NCPDP
—
Enumeration date
08/30/2016
Last updated
03/16/2021
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