Organization
GLOBAL MEDICAL THERAPEUTICS INC
Active
Other names
GLOBAL MEDICAL THERAPEUTICS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MAYSAM MORTAZAVI (PHARMACIST IN CHARGE)
(801) 518-1327
Entity
Organization
Contact information
Practice address
1890 S 3850 W STE 121-A, SALT LAKE CITY, UT 84104
(801) 935-4305
(801) 953-0908
Mailing address
1890 S 3850 W STE 121-A, SALT LAKE CITY, UT 84104-4909
(801) 935-4305
(801) 953-0908
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10923754-1703
UT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155240
PK
—
Enumeration date
10/23/2015
Last updated
01/21/2020
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