Organization
STATE OF UTAH
Active
Parent organization
STATE OF UTAH
Other names
CHS USCF Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF UTAH
Authorized official
DEANA MARIE KENYON PHARMD (CHS DIRECTOR OF PHARMACY)
(801) 522-7142
Entity
Organization
Contact information
Practice address
14425 BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7116
(801) 576-7059
Mailing address
1480 N 8000 W, SALT LAKE CITY, UT 84116
(801) 522-7142
(385) 465-6186
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
1228741704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612152
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2011
Last updated
06/28/2023
About Stedi
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