Organization
OLIVE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRAN M KHAN (PHARMACY MANAGER)
(801) 972-5155
Entity
Organization
Contact information
Practice address
2290 S REDWOOD RD, WEST VALLEY CITY, UT 84119-1322
(801) 972-5155
(801) 972-5152
Mailing address
2290 S REDWOOD RD, WEST VALLEY CITY, UT 84119-1322
(801) 972-5155
(801) 972-5152
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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