Individual
DEREK JAMES TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2332 E 2100 S, SALT LAKE CITY, UT 84109-1319
(801) 466-9949
(801) 467-6742
Mailing address
8649 N PINE VALLEY ALY, EAGLE MOUNTAIN, UT 84005-5261
(256) 654-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7685428-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7685428-1701
UTAH DEPARTMENT OF PROFESSIONAL LICENSING
UT
01
—
7685428-8911
UTAH DEPARTMENT OF PROFESSIONAL LICENSING
UT
Enumeration date
08/12/2020
Last updated
08/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us