Organization
AMPHEX PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV R SHARMA PHARM.D. (OWNER)
(801) 673-5612
Entity
Organization
Contact information
Practice address
898 E 3300 S, SALT LAKE CITY, UT 84106-1508
(801) 341-1300
Mailing address
3668 S GILROY RD, SALT LAKE CITY, UT 84109-3825
(801) 349-2849
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8529330-1703
UT
Other
Enumeration date
03/14/2013
Last updated
03/26/2014
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