Individual
REZA MOHAMMAD SAFARPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4111 JUPITER DR, SALT LAKE CITY, UT 84124-3341
(801) 272-0550
Mailing address
4111 JUPITER DR, SALT LAKE CITY, UT 84124-3341
(801) 272-0550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2797369-1701
UT
183500000X
Pharmacist
PH00022047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2797369
STATE LICENSE NUMBER
UT
01
—
PH00022047
STATE LICENSE NUMBER
WA
Enumeration date
03/10/2006
Last updated
12/13/2010
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