Unknown Individual – Pharmacist, NPI 1134276264
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1525, 2100 South, Salt Lake City, Salt Lake County, Utah, 84119, United States
SALT LAKE CITY, UT 841191401
Phone: (801) 213-9950
Type: Location
4962, Pawnee Drive, Oquirrh Shadows, West Jordan, Salt Lake County, Utah, 84081, United States
WEST JORDAN, UT 840846138
Phone: (801) 963-9392
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 ·
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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 84119)
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