GLADES HYLAND PHARMACIES NPI 1023158342

NPI Information

GLADES HYLAND PHARMACIES is a compounding pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. GLADES HYLAND PHARMACIES NPI is 1023158342. The provider is registered as an organization entity type.
The provider Is Doing Business As Hyland Pharmacy.

The provider's business location address is:

1295 MILLER AVE
SUITE 6
SALT LAKE CITY, UT
ZIP 84106-394
Phone: (801) 485-9281
Fax: (801) 486-8170

The provider's authorized official is Glade Baldwin .
The authorized official title is Owner Pharmacist and has the following contact phone number (801) 485-9281.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/13/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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