Organization
UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KELLY RPH (PHARMACY DIRECTOR)
(801) 587-6325
Entity
Organization
Contact information
Practice address
1091 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8820
(801) 213-9850
Mailing address
127 S 500 E, SUITE 160, SALT LAKE CITY, UT 84102-1959
(801) 587-6322
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5546220-1703
UT
Other
Enumeration date
10/05/2007
Last updated
04/20/2008
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