Organization
ECO PHARMACY OF SALT LAKE CITY 1 LLC
Active
Other names
Eco Pharmacy of Salt Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
JASMEET SINGH (OWNER, AO)
(832) 859-9523
Entity
Organization
Contact information
Practice address
12523 S CREEK MEADOW DR, RIVERTON, UT 84065-7291
(801) 254-6111
(801) 251-6226
Mailing address
12523 S CREEK MEADOW DR, RIVERTON, UT 84065-7291
(801) 254-6111
(801) 251-6226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9301773-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155228
PK
—
Enumeration date
11/09/2015
Last updated
05/27/2016
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