Unknown Individual – Pharmacist, NPI 1114939691
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7495, State Street, Midvale, Salt Lake County, Utah, 84047, United States
MIDVALE, UT 840472013
Phone: (801) 561-4695
Fax: (801) 213-9553
Type: Location
4153 S 2700 W APT 1G
TAYLORSVILLE, UT 841195214
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84047)
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