CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION NPI 1467811562

NPI Information

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION is a clinic pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION NPI is 1467811562. The provider is registered as an organization entity type.

The provider's business location address is:

660 S 200 E
SALT LAKE CITY, UT
ZIP 84111-835
Phone: (801) 359-2256
Fax: (801) 364-4392

The provider's authorized official is Virgil W Johnson .
The authorized official title is Council Chairman and has the following contact phone number (801) 898-4814.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.