Organization
UNIVERSITY OF UTAH
Active
Other names
MIDVALLEY SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K HOWELL CPHT (PHARMACY BUSINESS OPERATIONS MANAGE)
(801) 587-6334
Entity
Organization
Contact information
Practice address
6056 S FASHION SQUARE DR STE 1000, SUITE 1000, MURRAY, UT 84107-5410
(801) 213-8650
(801) 262-2802
Mailing address
PO BOX 841208, LOS ANGELES, CA 90084-1208
(801) 587-6334
(801) 587-2996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
97367431703
UT
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159504
PK
—
01
—
4613522
NCPDP
—
Enumeration date
03/28/2016
Last updated
03/16/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up